Elizabeth Raese is a Clinical in Grand Rapids, Michigan. Elizabeth Raese practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Raese is 1396939054. The last update date is 2014-04-18.
Elizabeth Raese's current location address is 3300 36th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6168315649 and fax number 6169429548. The mailing address for Elizabeth Raese is 3300 36th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Raese |
|---|---|
| Address | 3300 36th St Se, Grand Rapids, Michigan |
| Phone Number | 6168315649 |
| Fax Number | 6169429548 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1396939054 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2014-04-18 |
Provider Mailing Address Detail
| Address | 3300 36th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495122810 |
| Phone Number | 6168315649 |
| Fax Number | 6169429548 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301014727 |
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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 identification code issued to Elizabeth Raese by the Centers for Medicare & Medicaid Services?
The Elizabeth Raese has been assigned the NPI (National Provider Identifier) 1396939054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Elizabeth Raese located?
The Elizabeth Raese is located at 3300 36Th St Se, Grand Rapids, MI 495122810.
What is Elizabeth Raese's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Elizabeth Raese is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Elizabeth Raese receive its 1396939054 assignment from the Centers for Medicare & Medicaid Services?
The Elizabeth Raese was assigned its 1396939054 by the Centers for Medicare & Medicaid Services on 2007-09-05.
When was the Elizabeth Raese's information last updated?
The Elizabeth Raese's information was last updated on 2014-04-18.