Marianne Goergen is a Clinical in Grand Blanc, Michigan. Marianne Goergen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marianne Goergen is 1104967405. The last update date is 2014-02-10.
Marianne Goergen's current location address is 8435 Holly Rd, Grand Blanc, Michigan. You can contact this provider via phone number 8104242400 and fax number 8105797222. The mailing address for Marianne Goergen is 8435 Holly Rd, Grand Blanc, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marianne Goergen |
|---|---|
| Address | 8435 Holly Rd, Grand Blanc, Michigan |
| Phone Number | 8104242400 |
| Fax Number | 8105797222 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1104967405 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2014-02-10 |
Provider Mailing Address Detail
| Address | 8435 Holly Rd |
|---|---|
| City | Grand Blanc |
| State | Michigan (MI) |
| Post Code | 484391812 |
| Phone Number | 8104242400 |
| Fax Number | 8105797222 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1606356 |
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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 |
|---|---|---|---|
| 1007186 | MI | MCLAREN HEALTH ADVANTAGE | |
| 1007251 | MI | MCLAREN HEALTH PLAN PIN | |
| 348-776-000 | MI | MAGELLAN PIN | |
| 68-0-F3-3300-0 | MI | BLUE CROSS PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marianne Goergen by the Centers for Medicare & Medicaid Services?
The Marianne Goergen has been issued the NPI (National Provider Identifier) 1104967405, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Marianne Goergen's facilities are geographically located?
The facilities of Marianne Goergen are physically situated at the following location: 8435 Holly Rd, Grand Blanc, MI, 484391812.
What is Marianne Goergen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marianne Goergen is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Marianne Goergen receive its 1104967405 assignment from the Centers for Medicare & Medicaid Services?
The Marianne Goergen was assigned its 1104967405 on 2007-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Marianne Goergen most recently updated or revised?
The information pertaining to Marianne Goergen, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-10.