The Bridge Center For Growth, Pc. in Grosse Ile - Clinical
The Bridge Center For Growth, Pc. - NPI 1922204296
The Bridge Center For Growth, Pc. is a Clinical in Grosse Ile, Michigan. The Bridge Center For Growth, Pc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for The Bridge Center For Growth, Pc. is 1922204296. The last update date is 2020-08-22.
The Bridge Center For Growth, Pc.'s current location address is Po Box 4, Grosse Ile, Michigan. You can contact this provider via phone number 7346759700. The mailing address for The Bridge Center For Growth, Pc. is Po Box 4, Grosse Ile, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Bridge Center For Growth, Pc. |
|---|---|
| Address | Po Box 4, Grosse Ile, Michigan |
| Phone Number | 7346759700 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Acker Janice |
| Credentials | PSY.D. |
| Telephone Number | 7346759700 |
NPI Number Detail
| NPI Number | 1922204296 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 4 |
|---|---|
| City | Grosse Ile |
| State | Michigan (MI) |
| Post Code | 481380004 |
| Phone Number | 7346759700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 The Bridge Center For Growth, Pc.'s unique identification number?
The The Bridge Center For Growth, Pc. has been assigned the NPI (National Provider Identifier) Number 1922204296 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where The Bridge Center For Growth, Pc.'s facilities are situated?
The facilities of The Bridge Center For Growth, Pc. are physically located at the following address: Po Box 4, Grosse Ile, MI, 481380004.
What is The Bridge Center For Growth, Pc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for The Bridge Center For Growth, Pc. is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the The Bridge Center For Growth, Pc. receive the assignment of its 1922204296 from the Centers for Medicare & Medicaid Services?
The The Bridge Center For Growth, Pc. was issued its 1922204296 by the Centers for Medicare & Medicaid Services on 2007-06-25.
When was the information related to The Bridge Center For Growth, Pc. most recently updated or refreshed?
The details pertaining to the The Bridge Center For Growth, Pc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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