Tineke Carman Vandegrift in Acton - Clinical
Tineke Carman Vandegrift - NPI 1992864110
Tineke Carman Vandegrift is a Clinical in Acton, Massachusetts. Tineke Carman Vandegrift practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tineke Carman Vandegrift is 1992864110. The last update date is 2016-06-03.
Tineke Carman Vandegrift's current location address is Po Box 664, Acton, Massachusetts. You can contact this provider via phone number 9782631611 and fax number 9787762321. The mailing address for Tineke Carman Vandegrift is Po Box 664, Acton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tineke Carman Vandegrift |
|---|---|
| Address | Po Box 664, Acton, Massachusetts |
| Phone Number | 9782631611 |
| Fax Number | 9787762321 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1992864110 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2016-06-03 |
Provider Mailing Address Detail
| Address | Po Box 664 |
|---|---|
| City | Acton |
| State | Massachusetts (MA) |
| Post Code | 17200664 |
| Phone Number | 9782631611 |
| Fax Number | 9787762321 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7174 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W05812 | MA | BLUE CROSS BLUE SHIELD | |
| 250942000 | MA | MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tineke Carman Vandegrift by the Centers for Medicare & Medicaid Services?
The Tineke Carman Vandegrift has been assigned the NPI (National Provider Identifier) 1992864110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tineke Carman Vandegrift?
The Tineke Carman Vandegrift is physically situated at Po Box 664, in the city of Acton, state of MA, with the postal code 17200664.
What is Tineke Carman Vandegrift's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tineke Carman Vandegrift is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992864110 to Tineke Carman Vandegrift?
The Centers for Medicare & Medicaid Services assigned the 1992864110 to Tineke Carman Vandegrift on 2006-12-06.
As of what date were the details related to Tineke Carman Vandegrift most recently updated or revised?
The information pertaining to Tineke Carman Vandegrift, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-03.