Charles D Donaldson in Holland - Clinical

Charles D Donaldson - NPI 1104035385

Charles D Donaldson is a Clinical in Holland, Michigan. Charles D Donaldson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles D Donaldson is 1104035385. The last update date is 2007-07-08.

Charles D Donaldson's current location address is 603 E 16th St, Holland, Michigan. You can contact this provider via phone number 6163553000 and fax number 6163557704. The mailing address for Charles D Donaldson is 603 E 16th St, Holland, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles D Donaldson
Address 603 E 16th St, Holland, Michigan
Phone Number 6163553000
Fax Number 6163557704
Sole Proprietor Y
Credentials LLP, LPC

NPI Number Detail

NPI Number 1104035385
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 603 E 16th St
City Holland
State Michigan (MI)
Post Code 494233794
Phone Number 6163553000
Fax Number 6163557704

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 6301009941
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
895544 MI BLUE CROSS BLUE SHIELD

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FAQs about Charles D Donaldson

What is the unique provider identifier assigned to Charles D Donaldson?

The Charles D Donaldson has been issued the NPI (National Provider Identifier) 1104035385 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Charles D Donaldson?

The Charles D Donaldson is situated at 603 E 16Th St, in the city of Holland, state of MI, with the zip code 494233794.

What is Charles D Donaldson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Charles D Donaldson is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

When was the Charles D Donaldson's 1104035385 issued?

The Charles D Donaldson's 1104035385 was issued on 2007-05-22.

When was the information pertaining to Charles D Donaldson most recently updated or revised?

The details related to Charles D Donaldson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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