Melissa Ann Lidderdale in Rockford - Psychologist
Melissa Ann Lidderdale - NPI 1225158306
Melissa Ann Lidderdale is a Psychologist in Rockford, Michigan. Melissa Ann Lidderdale practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Melissa Ann Lidderdale is 1225158306. The last update date is 2021-02-01.
Melissa Ann Lidderdale's current location address is 57 Courtland St Unit 794, Rockford, Michigan. You can contact this provider via phone number 6164269193. The mailing address for Melissa Ann Lidderdale is 57 Courtland St Unit 794, Rockford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Ann Lidderdale |
|---|---|
| Address | 57 Courtland St Unit 794, Rockford, Michigan |
| Phone Number | 6164269193 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1225158306 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2021-02-01 |
Provider Mailing Address Detail
| Address | 57 Courtland St Unit 794 |
|---|---|
| City | Rockford |
| State | Michigan (MI) |
| Post Code | 493411455 |
| Phone Number | 6164269193 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301014348 |
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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 Melissa Ann Lidderdale's unique identification number?
The Melissa Ann Lidderdale has been assigned the NPI (National Provider Identifier) Number 1225158306 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Melissa Ann Lidderdale?
The Melissa Ann Lidderdale is situated at 57 Courtland St Unit 794, in the city of Rockford, state of MI, with the zip code 493411455.
What is the Melissa Ann Lidderdale's area of specialization and corresponding taxonomy classification?
The Melissa Ann Lidderdale's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When was the Melissa Ann Lidderdale's 1225158306 issued?
The Melissa Ann Lidderdale's 1225158306 was issued on 2007-03-30.
When was the information regarding Melissa Ann Lidderdale, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Melissa Ann Lidderdale, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-02-01.