Charles G Groves is a Psychologist in De Pere, Wisconsin. Charles G Groves practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Charles G Groves is 1548272891. The last update date is 2009-01-14.
Charles G Groves's current location address is 1325 Angels Path Rd, De Pere, Wisconsin. You can contact this provider via phone number 9203382855 and fax number 9203389270. The mailing address for Charles G Groves is 1325 Angels Path Rd, De Pere, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles G Groves |
|---|---|
| Address | 1325 Angels Path Rd, De Pere, Wisconsin |
| Phone Number | 9203382855 |
| Fax Number | 9203389270 |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1548272891 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2009-01-14 |
Provider Mailing Address Detail
| Address | 1325 Angels Path Rd |
|---|---|
| City | De Pere |
| State | Wisconsin (WI) |
| Post Code | 541154050 |
| Phone Number | 9203382855 |
| Fax Number | 9203389270 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1568-057 |
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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 |
|---|---|---|---|
| 1244550 | WI | MEDICARE | |
| 39266100 | WI | -- |
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What is the unique identification code assigned to Charles G Groves by the Centers for Medicare & Medicaid Services?
The Charles G Groves has been issued the NPI (National Provider Identifier) 1548272891. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charles G Groves's physical address?
The Charles G Groves is physically located at 1325 Angels Path Rd, in the city of De Pere, WI, with the postal code 541154050.
What is the Charles G Groves's specialty and taxonomy code?
The Charles G Groves's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548272891 to Charles G Groves?
The Centers for Medicare & Medicaid Services assigned the 1548272891 to Charles G Groves on 2006-08-13.
When was the Charles G Groves's information last updated?
The Charles G Groves's information was last updated on 2009-01-14.