RUDOLPH HAGWOOD JR.
NPI 1023852530
Counselor - Professional in Bridgeport, CT
- Individual
- Male
- Counselor
- Professional
About RUDOLPH HAGWOOD
This page provides the complete NPI Profile along with additional information for Rudolph Hagwood, a provider established in Bridgeport, Connecticut with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1023852530 assigned on June 2024. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1023852530 Verify this NPI
- Provider Name
- RUDOLPH HAGWOOD JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1635 FAIRFIELD AVE BRIDGEPORT, CT 06605
- Location Phone
- (203) 335-3518
- Location Fax
- (203) 382-5589
- Mailing Address
- 115 LONG HILL TER NEW HAVEN, CT 06515
- Mailing Phone
- (203) 435-2648
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-20-2024
- Last Update Date
- 06-20-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023852530, enumerated as an "individual" on June 20, 2024.
The provider is located at 1635 FAIRFIELD AVE BRIDGEPORT, CT 06605 and the phone number is (203) 335-3518.
Counselor with taxonomy code 101YP2500X and a focus in Professional.