Individual provider · Type 1 NPI
Jeremy Todd Bidwell, PhD
Prescribing (Medical) Psychologist · Woodstock, IL
Practice location
111 Dean St
Woodstock, IL 60098-3220
Fax (815) 344-5072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.007831 (IL) |
| Prescribing (Medical) Psychologist Primary | 103TP0016X | 074.000011 (IL) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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About NPI 1609108703
Jeremy Todd Bidwell, PhD's National Provider Identifier is 1609108703, issued on Feb 1, 2010. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Woodstock, IL. The record was last updated on Dec 15, 2021.