Mr. David A. Priddy
Rehabilitation Psychologist
575 N Kellogg St Ste 4
Galesburg
, Illinois 61401-7609
Mr. David A. Priddy
Rehabilitation Psychologist
575 N Kellogg St Ste 4
Galesburg
, Illinois 61401-7609
(309) 343-0802
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Mr. David A. Priddy
- 575 N Kellogg St Ste 4
- Galesburg, IL
- Zip : 61401-7609
- Fax : (309) 343-0802
- Phone : (309) 343-0800
Second Address
- Mr. David A. Priddy
- 575 N Kellogg St Ste 4
- Galesburg, IL
- Zip : 61401-7609
- Fax : (309) 343-0802
- Phone : (309) 343-0800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist | 071-003839 | IL |
National Provider Identifier
| NPI | 1669416749 |
|---|---|
| Provider Name | Mr. David A. Priddy |
| First Address | Galesburg, IL 61401-7609 |
| Second Address | Galesburg, IL 61401-7609 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 18/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 013154 | HEALTH ALLIANCE ID (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.