Julia Bernice De Jonge in Grand Rapids - Psychologist
Julia Bernice De Jonge - NPI 1801949979
Julia Bernice De Jonge is a Psychologist in Grand Rapids, Michigan. Julia Bernice De Jonge practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Julia Bernice De Jonge is 1801949979. The last update date is 2007-07-08.
Julia Bernice De Jonge's current location address is 4469 Cascade Rd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169403331. The mailing address for Julia Bernice De Jonge is 4469 Cascade Rd Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julia Bernice De Jonge |
|---|---|
| Address | 4469 Cascade Rd Se, Grand Rapids, Michigan |
| Phone Number | 6169403331 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1801949979 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4469 Cascade Rd Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495463632 |
| Phone Number | 6169403331 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1816731 |
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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 Julia Bernice De Jonge by the Centers for Medicare & Medicaid Services?
The Julia Bernice De Jonge has been issued the NPI (National Provider Identifier) 1801949979, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Julia Bernice De Jonge's facilities are geographically located?
The facilities of Julia Bernice De Jonge are physically situated at the following location: 4469 Cascade Rd Se, Grand Rapids, MI, 495463632.
What is Julia Bernice De Jonge'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 Julia Bernice De Jonge is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Julia Bernice De Jonge receive the assignment of its 1801949979 from the Centers for Medicare & Medicaid Services?
The Julia Bernice De Jonge was issued its 1801949979 by the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details related to Julia Bernice De Jonge most recently updated or revised?
The information pertaining to Julia Bernice De Jonge, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC