PATRICK WOLFRAM NOLTEN


Address: 832 Shandrew Dr, Naperville, IL 60540-8223
Phone: 6305483419

PATRICK WOLFRAM NOLTEN (NPI# 1649302167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649302167
Entity Type Individual
Full Name PATRICK WOLFRAM NOLTEN
Credential PH.D.
Practice Address 832 Shandrew Dr
Naperville
IL 60540-8223
Practice Telephone 6305483419
Mailing Telephone 6305483419
Enumeration Date 2007-03-10
Last Update Date 2020-06-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 71005294 IL Behavioral Health & Social Service Providers
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
71005294 IL Behavioral Health & Social Service Providers

Office Location

Street Address 832 SHANDREW DR
City NAPERVILLE
State IL
Zip Code 60540-8223

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City NAPERVILLE
Zip Code 60540

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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