James Michael Gronendyke in Fremont - Clinical
James Michael Gronendyke - NPI 1982758413
James Michael Gronendyke is a Clinical in Fremont, California. James Michael Gronendyke practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Michael Gronendyke is 1982758413. The last update date is 2007-07-12.
James Michael Gronendyke's current location address is 39400 Paseo Padre Pkwy, Fremont, California. You can contact this provider via phone number 5102483440 and fax number 5102483551. The mailing address for James Michael Gronendyke is 39400 Paseo Padre Pkwy, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Michael Gronendyke |
|---|---|
| Address | 39400 Paseo Padre Pkwy, Fremont, California |
| Phone Number | 5102483440 |
| Fax Number | 5102483551 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1982758413 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 39400 Paseo Padre Pkwy |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945382310 |
| Phone Number | 5102483440 |
| Fax Number | 5102483551 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 16245 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to James Michael Gronendyke by the Centers for Medicare & Medicaid Services?
The James Michael Gronendyke has been issued the NPI (National Provider Identifier) 1982758413, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of James Michael Gronendyke?
The James Michael Gronendyke is physically situated at 39400 Paseo Padre Pkwy, in the city of Fremont, state of CA, with the postal code 945382310.
What is James Michael Gronendyke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James Michael Gronendyke is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the James Michael Gronendyke's 1982758413 issued?
The James Michael Gronendyke's 1982758413 was issued on 2007-01-22.
When was the information regarding James Michael Gronendyke most recently updated?
The details pertaining to the James Michael Gronendyke, including its address, specialty, and other relevant information, were last refreshed on 2007-07-12.