Eric J. Dykstra is a Psychologist in Jenison, Michigan. Eric J. Dykstra practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Eric J. Dykstra is 1780745422. The last update date is 2023-10-06.
Eric J. Dykstra's current location address is 7086 8th Ave, Jenison, Michigan. You can contact this provider via phone number 6166679551. The mailing address for Eric J. Dykstra is 7086 8th Ave, Jenison, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric J. Dykstra |
|---|---|
| Address | 7086 8th Ave, Jenison, Michigan |
| Phone Number | 6166679551 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1780745422 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2023-10-06 |
Provider Mailing Address Detail
| Address | 7086 8th Ave |
|---|---|
| City | Jenison |
| State | Michigan (MI) |
| Post Code | 494289352 |
| Phone Number | 6166679551 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301013027 |
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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 identifier code issued to Eric J. Dykstra by the Centers for Medicare & Medicaid Services?
The Eric J. Dykstra has been assigned the NPI (National Provider Identifier) 1780745422 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Eric J. Dykstra's facilities are geographically located?
The facilities of Eric J. Dykstra are physically situated at the following location: 7086 8Th Ave, Jenison, MI, 494289352.
What is Eric J. Dykstra'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 Eric J. Dykstra is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780745422 to Eric J. Dykstra?
The Centers for Medicare & Medicaid Services assigned the 1780745422 to Eric J. Dykstra on 2006-12-13.
As of what date were the Eric J. Dykstra's details last updated?
The information pertaining to the Eric J. Dykstra, including its address, specialty, and other details, was most recently updated on 2023-10-06.
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