Lad Joseph Vidergar in Detroit - Clinical
Lad Joseph Vidergar - NPI 1982616363
Lad Joseph Vidergar is a Clinical in Detroit, Michigan. Lad Joseph Vidergar practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lad Joseph Vidergar is 1982616363. The last update date is 2007-07-13.
Lad Joseph Vidergar's current location address is 4646 John R St, Detroit, Michigan. You can contact this provider via phone number 3135761000 and fax number 3135761091. The mailing address for Lad Joseph Vidergar is 4646 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lad Joseph Vidergar |
|---|---|
| Address | 4646 John R St, Detroit, Michigan |
| Phone Number | 3135761000 |
| Fax Number | 3135761091 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1982616363 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 4646 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482011916 |
| Phone Number | 3135761000 |
| Fax Number | 3135761091 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301003401 |
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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 identification code assigned to Lad Joseph Vidergar by the Centers for Medicare & Medicaid Services?
The Lad Joseph Vidergar has been issued the NPI (National Provider Identifier) 1982616363. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lad Joseph Vidergar's facilities are situated?
The facilities of Lad Joseph Vidergar are physically located at the following address: 4646 John R St, Detroit, MI, 482011916.
What is the Lad Joseph Vidergar's area of specialization and corresponding taxonomy classification?
The Lad Joseph Vidergar's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Lad Joseph Vidergar receive the assignment of its 1982616363 from the Centers for Medicare & Medicaid Services?
The Lad Joseph Vidergar was issued its 1982616363 by the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date were the Lad Joseph Vidergar's details last updated?
The information pertaining to the Lad Joseph Vidergar, including its address, specialty, and other details, was most recently updated on 2007-07-13.
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