Dr Jonathan Adam Dudek, PHD is a
Psychologist - Clinical based in Princeton, Maine. Dr Jonathan Adam Dudek is licensed to practice in Maine (license number PS1103) and his current practice location is
136 Mill St, Princeton, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 796-5503.
NPI number for Dr Jonathan Adam Dudek is 1356687040 and his current mailing address is 136 Mill St, Princeton, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356687040.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Adam Dudek |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 136 Mill St, Princeton, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356687040
- Provider Enumeration Date: 12/27/2012
- Last Update Date: 06/08/2015
Medical Identifiers
Medical identifiers for Dr Jonathan Adam Dudek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356687040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PS1103 (Maine) | Primary |
| 103TC0700X | Psychologist - Clinical | 1052 (New Hampshire) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Adam Dudek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jonathan Adam Dudek, PHD
136 Mill St,
Princeton, ME 04668-3344
Ph: (207) 796-5503 | Dr Jonathan Adam Dudek, PHD
136 Mill St,
Princeton, ME 04668-3344
Ph: (207) 796-5503 |
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