- Practice location
- 136 Mill St, Princeton, ME 04668-3344
- Phone
- 207-796-5503
- Fax
- 207-796-5528
- Last updated
- June 8, 2015
Jonathan Adam Dudek is a Psychologist, Clinical based in Princeton, ME. Jonathan Adam Dudek practices in Princeton, ME and has the professional credentials of PHD. The NPI Number for Jonathan Adam Dudek is 1356687040 and holds a License No. PS1103 (ME). The current practice location address for Jonathan Adam Dudek is 136 Mill St, Princeton, ME 04668-3344 and can be reached out via phone at 207-796-5503 and via fax at 207-796-5528.
Provider Profile Details
- NPI Number
- 1356687040
- Provider Name
- Jonathan Adam Dudek
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 136 Mill St, Princeton, ME 04668-3344
- Phone Number
- 207-796-5503
- Fax Number
- 207-796-5528
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 27, 2012
- Last Update Date
- June 8, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 136 Mill St
Princeton, ME 04668-3344 - City
- Princeton
- State
- Maine
- Zip
- 04668-3344
- Phone Number
- 207-796-5503
- Fax Number
- 207-796-5528
Provider Business Mailing Address Details
- Address
- 136 Mill St
Princeton, ME 04668-3344 - City
- Princeton
- State
- ME
- Zip
- 04668-3344
- Phone Number
- 207-796-5503
- Fax Number
- 207-796-5528
License Information
- License Number (1)
- PS1103
- License State (1)
- ME
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (2)
- 1052
- License State (2)
- NH
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan A Dudek, PHD?
The NPI number of Dr. Jonathan A Dudek, PHD is 1356687040. It was assigned on December 27, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan A Dudek, PHD?
Dr. Jonathan A Dudek, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in ME under license number PS1103.
Where does Dr. Jonathan A Dudek, PHD practice?
The practice location is 136 Mill St, Princeton, ME 04668-3344. The office can be reached at 207-796-5503 (phone) or 207-796-5528 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356687040 directly on the NPPES registry website.