Larry James Alderink in Grand Haven - Clinical
Larry James Alderink - NPI 1578674602
Larry James Alderink is a Clinical in Grand Haven, Michigan. Larry James Alderink practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry James Alderink is 1578674602. The last update date is 2008-10-06.
Larry James Alderink's current location address is 13961 148th Ave, Grand Haven, Michigan. You can contact this provider via phone number 6168423179 and fax number 2317371218. The mailing address for Larry James Alderink is 13961 148th Ave, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry James Alderink |
|---|---|
| Address | 13961 148th Ave, Grand Haven, Michigan |
| Phone Number | 6168423179 |
| Fax Number | 2317371218 |
| Sole Proprietor | N |
| Credentials | MA LLP |
NPI Number Detail
| NPI Number | 1578674602 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2008-10-06 |
Provider Mailing Address Detail
| Address | 13961 148th Ave |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 49417 |
| Phone Number | 6168423179 |
| Fax Number | 2317371218 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301007613 |
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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 |
|---|---|---|---|
| PI08975940 | MI | BLUE CARE NETWORK | |
| 5688680 | MI | FIRST HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Larry James Alderink by the Centers for Medicare & Medicaid Services?
The Larry James Alderink has been issued the NPI (National Provider Identifier) 1578674602 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Larry James Alderink is located?
The Larry James Alderink is situated at the following address: 13961 148Th Ave, Grand Haven, MI, 49417.
What is Larry James Alderink's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry James Alderink's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Larry James Alderink receive its 1578674602 assignment from the Centers for Medicare & Medicaid Services?
The Larry James Alderink was assigned its 1578674602 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Larry James Alderink's information last updated?
The Larry James Alderink's information was last updated on 2008-10-06.