David James Potts is a Clinical in Decatur, Michigan. David James Potts practices all healthcare services and medical treatments related to Clinical. The NPI Number for David James Potts is 1912058918. The last update date is 2015-12-28.
David James Potts's current location address is 15887 West Saddlebag Lake Road, Decatur, Michigan. You can contact this provider via phone number 5742261743 and fax number 2693837892. The mailing address for David James Potts is 15887 West Saddlebag Lake Road, Decatur, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David James Potts |
|---|---|
| Address | 15887 West Saddlebag Lake Road, Decatur, Michigan |
| Phone Number | 5742261743 |
| Fax Number | 2693837892 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1912058918 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2015-12-28 |
Provider Mailing Address Detail
| Address | 15887 West Saddlebag Lake Road |
|---|---|
| City | Decatur |
| State | Michigan (MI) |
| Post Code | 49045 |
| Phone Number | 5742261743 |
| Fax Number | 2693837892 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301002699 |
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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 identifier code issued to David James Potts by the Centers for Medicare & Medicaid Services?
The David James Potts has been assigned the NPI (National Provider Identifier) 1912058918 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of David James Potts?
The David James Potts is situated at 15887 West Saddlebag Lake Road, in the city of Decatur, state of MI, with the zip code 49045.
What is David James Potts's specialized field of practice, and what is the corresponding taxonomy classification code?
The David James Potts's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912058918 to David James Potts?
The Centers for Medicare & Medicaid Services assigned the 1912058918 to David James Potts on 2007-01-16.
As of what date were the details pertaining to David James Potts last refreshed?
The information related to the David James Potts, including its address, specialty, and other relevant details, was last updated on 2015-12-28.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA