Reginald Adkisson PHD

NPI 1063632834 - Psychologist - 103TC0700X

NPI Details
NPI 1063632834
Gender Male
Enumeration Date 04/26/2007
Last Updated 01/16/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
MADIGAN ARMY MEDICAL CTR
9040 REID STREET, ATTN: MCHJ-CLQ-C
TACOMA WA, 98431-1100, US
Phone (253) 968-2252
Fax (253) 968-3278
Business Location
MADIGAN ARMY MEDICAL CTR
9040 REID STREET, ATTN: MCHJ-CLQ-C
TACOMA WA, 98431-1100, US
Phone (253) 968-2252
Fax (253) 968-3278
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071008173
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According to our database, Dr. Reginald Adkisson PHD NPI is 1063632834, taxonomy code is 103TC0700X and license number is 071008173, license state is located at Illinois. Reginald Adkisson PHD physically located at Madigan Army Medical Ctr, Tacoma WA, 98431-1100. NPI Number Reginald Adkisson PHD has the Individual type.

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1063632834 NPI number is provided on an as is basis without warranty of any kind. 1063632834 is maintained by the National Plan & Provider Enumeration System. The contents of Reginald Adkisson PHD are for informational purposes only.