Kerry Lee Garretson in Holland - Cognitive & Behavioral
Kerry Lee Garretson - NPI 1891839452
Kerry Lee Garretson is a Cognitive & Behavioral in Holland, Ohio. Kerry Lee Garretson practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Kerry Lee Garretson is 1891839452. The last update date is 2011-10-27.
Kerry Lee Garretson's current location address is 6912 Spring Valley Dr, Holland, Ohio. You can contact this provider via phone number 4198664644 and fax number 4198615040. The mailing address for Kerry Lee Garretson is 6912 Spring Valley Dr, Holland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Lee Garretson |
|---|---|
| Address | 6912 Spring Valley Dr, Holland, Ohio |
| Phone Number | 4198664644 |
| Fax Number | 4198615040 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1891839452 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2011-10-27 |
Provider Mailing Address Detail
| Address | 6912 Spring Valley Dr |
|---|---|
| City | Holland |
| State | Ohio (OH) |
| Post Code | 435289676 |
| Phone Number | 4198664644 |
| Fax Number | 4198615040 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 2500 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 528003 | OH | -- |
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What is the unique 10-digit identifier code issued to Kerry Lee Garretson by the Centers for Medicare & Medicaid Services?
The Kerry Lee Garretson has been assigned the NPI (National Provider Identifier) 1891839452 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kerry Lee Garretson?
The Kerry Lee Garretson is physically situated at 6912 Spring Valley Dr, in the city of Holland, state of OH, with the postal code 435289676.
What is the Kerry Lee Garretson's specialty and taxonomy code?
The Kerry Lee Garretson's specialty is Cognitive & Behavioral, and the corresponding taxonomy code is 103Tb0200X.
On what date did the Kerry Lee Garretson receive its 1891839452 assignment from the Centers for Medicare & Medicaid Services?
The Kerry Lee Garretson was assigned its 1891839452 by the Centers for Medicare & Medicaid Services on 2007-02-16.
When was the information pertaining to Kerry Lee Garretson most recently updated or revised?
The details related to Kerry Lee Garretson, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-27.