Doctor Name: | ANTHONY D RODRIGUEZ |
NPI Number: | 1568441103 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LISW |
License Number: | 06287 |
Business Practice Address: | 2213 E 52nd St Davenport, IA - 528072785 |
Business Phone Number: | 5633554410 |
Business Fax Number: | 5633554110 |
Mailing Address: | 2213 E 52nd St, DAVENPORT |
State: | IA |
Postal Code: | 528072785 |
Phone Number: | 5633554410 |
Fax Number: | 5633554110 |
NPI Enumeration Date: | 01/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 06287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |