Joseph William Proctor

Psychologist · Macomb, IL

Individual Active NPI

NPI number 1497287007

Practice location

210 S Randolph St
Macomb, IL 61455-3828
Phone
(217) 779-6063

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NPI record

NPI
1497287007
Entity type
Individual (Type 1)
Enumeration date
April 2, 2017
Last updated
April 2, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 071005721 IL

Mailing address

6482 Lakeshore View Dr
Rushville, IL 62681-4707
Phone
(217) 779-6063

About Joseph Proctor

Joseph William Proctor is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 210 S Randolph St, Macomb, IL 61455-3828. The NPI number 1497287007 was assigned on April 2, 2017 and the record was last updated on April 2, 2017.

Joseph Proctor lists a license in the registry: #071005721 (IL) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joseph William Proctor?

The NPI number is 1497287007.

What is the phone number of Joseph Proctor?

The phone number listed for the practice location is (217) 779-6063.

Where is Joseph Proctor located?

210 S Randolph St, Macomb, IL 61455-3828.

What is the taxonomy code for Joseph Proctor?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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