Clyde A Richardson in Grand Rapids - Pastoral
Clyde A Richardson - NPI 1275709826
Clyde A Richardson is a Pastoral in Grand Rapids, Michigan. Clyde A Richardson practices all healthcare services and medical treatments related to Pastoral. The NPI Number for Clyde A Richardson is 1275709826. The last update date is 2009-06-26.
Clyde A Richardson's current location address is 3210 Eagle Run Dr, Grand Rapids, Michigan. You can contact this provider via phone number 6169571200 and fax number 6169571297. The mailing address for Clyde A Richardson is 3210 Eagle Run Dr, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde A Richardson |
|---|---|
| Address | 3210 Eagle Run Dr, Grand Rapids, Michigan |
| Phone Number | 6169571200 |
| Fax Number | 6169571297 |
| Sole Proprietor | N |
| Credentials | M DIV CAC- |
NPI Number Detail
| NPI Number | 1275709826 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2009-06-26 |
Provider Mailing Address Detail
| Address | 3210 Eagle Run Dr |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49525 |
| Phone Number | 6169571200 |
| Fax Number | 6169571297 |
Provider's Primary Taxonomy Detail
| Speciality | Pastoral |
|---|---|
| Taxonomy | 101Yp1600X |
| Licence No | 6802067415 |
|
Definition: A counselor who integrates spirituality and counseling to promote wellbeing. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NONE | NONE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clyde A Richardson by the Centers for Medicare & Medicaid Services?
The Clyde A Richardson has been issued the NPI (National Provider Identifier) 1275709826, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Clyde A Richardson is physically located?
The Clyde A Richardson is physically situated at the following address: 3210 Eagle Run Dr, Grand Rapids, MI, 49525.
What is the Clyde A Richardson's area of specialization and corresponding taxonomy classification?
The Clyde A Richardson's specialty field is Pastoral, and it falls under the taxonomy code 101Yp1600X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1275709826 to Clyde A Richardson?
The Centers for Medicare & Medicaid Services assigned the 1275709826 to Clyde A Richardson on 2008-05-05.
When was the information related to Clyde A Richardson most recently updated or refreshed?
The details pertaining to the Clyde A Richardson, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-06-26.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1023011053
Address: 1253 N Vine St, Los Angeles, CA