David Wallace Stoepker in Grand Rapids - Psychologist
David Wallace Stoepker - NPI 1881608180
David Wallace Stoepker is a Psychologist in Grand Rapids, Michigan. David Wallace Stoepker practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David Wallace Stoepker is 1881608180. The last update date is 2015-03-30.
David Wallace Stoepker'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 David Wallace Stoepker is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Wallace Stoepker |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1881608180 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2015-03-30 |
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 | 6301002040 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OC94548 | MI | BC/BS # |
Post Comment/ Review Below
What is the unique provider identifier assigned to David Wallace Stoepker?
The David Wallace Stoepker has been issued the NPI (National Provider Identifier) 1881608180 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David Wallace Stoepker?
The David Wallace Stoepker is physically situated at 300 68Th St Se, in the city of Grand Rapids, state of MI, with the postal code 495486927.
What is the area of specialization for David Wallace Stoepker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Wallace Stoepker is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did David Wallace Stoepker receive its 1881608180 assignment from the Centers for Medicare & Medicaid Services?
The David Wallace Stoepker was assigned its 1881608180 on 2006-07-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding David Wallace Stoepker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David Wallace Stoepker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-03-30.