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NPI Code Detail

MEDICARE: DR. RODNEY ALAN NADEAU PH.D.

MEDICARE:  DR. RODNEY ALAN NADEAU  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerLSX9139ME

General Provider Information

NPI Number : 1568670826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY ALAN NADEAU PH.D.
Provider Business Mailing Address
First Line : 65 SMITHWOOD DR
Second Line :
City : NORTH YARMOUTH
State : ME
Zip : 04097-6525
Country : US
Telephone Number : 207-829-5280
Fax Number :
Provider Business Practice Location Address
First Line : 65 SMITHWOOD DR
Second Line :
City : NORTH YARMOUTH
State : ME
Zip : 04097-6525
Country : US
Telephone Number : 207-829-5280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2007
Last Update Date : 07/08/2007

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Directions to “ DR. RODNEY ALAN NADEAU PH.D.” Practice Location

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