Bruce Kevin Retterath in Grand Rapids - Psychologist
Bruce Kevin Retterath - NPI 1568477842
Bruce Kevin Retterath is a Psychologist in Grand Rapids, Michigan. Bruce Kevin Retterath practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bruce Kevin Retterath is 1568477842. The last update date is 2007-07-09.
Bruce Kevin Retterath's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Bruce Kevin Retterath is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Kevin Retterath |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1568477842 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301009368 |
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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 Bruce Kevin Retterath's 1568477842?
The Bruce Kevin Retterath's NPI (National Provider Identifier) Number is 1568477842. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bruce Kevin Retterath's facilities are geographically located?
The facilities of Bruce Kevin Retterath are physically situated at the following location: 300 68Th St Se, Grand Rapids, MI, 495486927.
What is the Bruce Kevin Retterath's specialty and taxonomy code?
The Bruce Kevin Retterath's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When did the Bruce Kevin Retterath receive its 1568477842?
The Bruce Kevin Retterath was issued its 1568477842 on 2006-07-29, which is the date when the organization was assigned this unique identifier.
As of what date were the Bruce Kevin Retterath's details last updated?
The information pertaining to the Bruce Kevin Retterath, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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