Paul Critelli is a Clinical in Grand Rapids, Michigan. Paul Critelli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Critelli is 1609803469. The last update date is 2007-07-08.
Paul Critelli's current location address is 858 Iroquois Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6162484738 and fax number 6162484745. The mailing address for Paul Critelli is 858 Iroquois Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Critelli |
|---|---|
| Address | 858 Iroquois Dr Se, Grand Rapids, Michigan |
| Phone Number | 6162484738 |
| Fax Number | 6162484745 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1609803469 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 858 Iroquois Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495063373 |
| Phone Number | 6162484738 |
| Fax Number | 6162484745 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301002801 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4590519 | MI | AETNA | |
| 68OC445030 | MI | BLUE CROSS BLUE SHIELD | |
| 7419464 | MI | CIGNA BEHAVIORAL HEALTH | |
| 41872 | MI | VALUEOPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Paul Critelli by the Centers for Medicare & Medicaid Services?
The Paul Critelli has been assigned the NPI (National Provider Identifier) 1609803469 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Paul Critelli?
The Paul Critelli is physically situated at 858 Iroquois Dr Se, in the city of Grand Rapids, state of MI, with the postal code 495063373.
What is Paul Critelli's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Critelli's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When was the Paul Critelli's 1609803469 issued?
The Paul Critelli's 1609803469 was issued on 2006-06-27.
As of what date was the information pertaining to Paul Critelli, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Paul Critelli, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.