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Dr. Jeremy Todd Bidwell, PHD
Prescribing (Medical) Psychologist in Woodstock, Illinois
NPI 1609108703

Jeremy Todd Bidwell is a Prescribing (Medical) Psychologist based in Woodstock, IL and is specialized in Prescribing (Medical). Jeremy Todd Bidwell practices in Woodstock, IL and has the professional credentials of PHD. The NPI Number for Jeremy Todd Bidwell is 1609108703 and holds a License No. 071.007831 (Illinois).

The current practice location address for Jeremy Todd Bidwell is 111 Dean St, Woodstock, IL and can be reached out via phone at 815-344-5061 and via fax at 815-344-5072.

Location: 111 Dean St, Woodstock, IL, 60098-3220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609108703
Provider Name
Jeremy Todd Bidwell
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
111 Dean St, Woodstock, IL, 60098-3220
Phone Number
815-344-5061
Fax Number
815-344-5072
Provider Enumeration Date
02/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Dean St
City
Woodstock
State
Illinois
Zip
60098-3220
Phone Number
815-344-5061
Fax Number
815-344-5072
person
Provider Business Mailing Address Details
Address
111 Dean St
City
Woodstock
State
Illinois
Zip
60098-3220
Phone Number
815-344-5061
Fax Number
815-344-5072
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
074.000011 (Illinois)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
071.007831 (Illinois)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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