Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY TODD BIDWELL, PH.D.
ActiveDR. JEREMY TODD BIDWELL, PH.D. is a Prescribing Psychologist healthcare provider located in WOODSTOCK, Illinois. NPI 1609108703 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · WOODSTOCK, IL
Registration Details
- NPI Number
- 1609108703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2010 (16.503859078243 yrs)
- Last Updated
- Dec 15, 2021
- Licenses
-
071.007831 (IL)074.000011 (IL)
Practice Information
- Address
-
111 DEAN STWOODSTOCK, IL, 600983220Browse IL providers · Browse ZIP 60098
- Phone
- 8153445061
- Fax
- 8153445072
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
- Additional Specialty
- Prescribing Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.