Provider Demographics
NPI:1568670826
Name:NADEAU, RODNEY ALAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:ALAN
Last Name:NADEAU
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 SMITHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTH YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04097-6525
Mailing Address - Country:US
Mailing Address - Phone:207-829-5280
Mailing Address - Fax:
Practice Address - Street 1:65 SMITHWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTH YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04097-6525
Practice Address - Country:US
Practice Address - Phone:207-829-5280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELSX9139104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker