Midwest Psychology, Pc in Fremont - Psychologist
Midwest Psychology, Pc - NPI 1154464907
Midwest Psychology, Pc is a Psychologist in Fremont, Michigan. Midwest Psychology, Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Midwest Psychology, Pc is 1154464907. The last update date is 2009-09-21.
Midwest Psychology, Pc's current location address is 905 S Stewart Ave, Fremont, Michigan. You can contact this provider via phone number 2319245309 and fax number 2319241685. The mailing address for Midwest Psychology, Pc is 905 S Stewart Ave, Fremont, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwest Psychology, Pc |
|---|---|
| Address | 905 S Stewart Ave, Fremont, Michigan |
| Phone Number | 2319245309 |
| Fax Number | 2319241685 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Weeks Charles Gailord |
| Credentials | PH.D. |
| Telephone Number | 2319245309 |
NPI Number Detail
| NPI Number | 1154464907 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2009-09-21 |
Provider Mailing Address Detail
| Address | 905 S Stewart Ave |
|---|---|
| City | Fremont |
| State | Michigan (MI) |
| Post Code | 494129201 |
| Phone Number | 2319245309 |
| Fax Number | 2319241685 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301003219 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code assigned to Midwest Psychology, Pc by the Centers for Medicare & Medicaid Services?
The Midwest Psychology, Pc has been issued the NPI (National Provider Identifier) 1154464907, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Midwest Psychology, Pc's facilities are situated?
The facilities of Midwest Psychology, Pc are physically located at the following address: 905 S Stewart Ave, Fremont, MI, 494129201.
What is Midwest Psychology, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Midwest Psychology, Pc is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date was the 1154464907 assigned to Midwest Psychology, Pc?
The Midwest Psychology, Pc was issued its 1154464907 on 2007-02-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Midwest Psychology, Pc's details last updated?
The information pertaining to the Midwest Psychology, Pc, including its address, specialty, and other details, was most recently updated on 2009-09-21.