Jerry E Gudorf LCSW

  • NPI 1235106287
According to our database, the NPI number for Jerry E Gudorf LCSW is 1235106287 and activated since 18 years ago. Jerry E Gudorf LCSW is an individual provider who specializes in Clinical, and the primary practice location is 403 E Madison St, South Bend, IN 46617. You can also contact Jerry E Gudorf LCSW via telephone number is (574) 234-0061. Provider NPI information was last updated on 07/08/2007.

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Overview of Jerry E Gudorf LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/08/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 34002240
  • License State: IN

Provider Mailing Address

  • Address: 6026 S Bridgeton Ln
    South Bend, IN 46614
  • Phone: 574-291-9507
  • Fax: 574-283-1313

Provider Practice Location

  • Address: 403 E Madison St
    South Bend, IN 46617
  • Phone: 574-234-0061
  • Fax: 574-283-1209

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 34002240
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerry E Gudorf LCSW?
  • A: The npi number for Jerry E Gudorf LCSW is 1235106287.
  • Q: What are Jerry E Gudorf LCSW's specialties?
  • A: Jerry E Gudorf LCSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Jerry E Gudorf LCSW?
  • A: The medical license number for Jerry E Gudorf LCSW is 34002240 and issued in IN in USA.
  • Q: Where is Jerry E Gudorf LCSW practice location?
  • A: Jerry E Gudorf LCSW is practicing at 403 E Madison St, South Bend, IN 46617.
  • Q: How to contact Jerry E Gudorf LCSW?
  • A: You can contact Jerry E Gudorf LCSW via 574-234-0061.