Doctor Name: | DR. AUDIE D GADDIS |
NPI Number: | 1043243496 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 0810003002 |
Business Practice Address: | 2322 Blue Stone Hill Dr Suite 280 Harrisonburg, VA - 228013407 |
Business Phone Number: | 5404374820 |
Business Fax Number: | 5404374823 |
Mailing Address: | 2322 Blue Stone Hills Dr, Suite 280 HARRISONBURG |
State: | VA |
Postal Code: | 228015403 |
Phone Number: | 5404374820 |
Fax Number: | 5404374823 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 0810003002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |