Judith A Vanderwal in Grand Rapids - Clinical
Judith A Vanderwal - NPI 1427028471
Judith A Vanderwal is a Clinical in Grand Rapids, Michigan. Judith A Vanderwal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith A Vanderwal is 1427028471. The last update date is 2008-06-26.
Judith A Vanderwal's current location address is 3330 Claystone St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169428060 and fax number 6169426690. The mailing address for Judith A Vanderwal is 3330 Claystone St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith A Vanderwal |
|---|---|
| Address | 3330 Claystone St Se, Grand Rapids, Michigan |
| Phone Number | 6169428060 |
| Fax Number | 6169426690 |
| Sole Proprietor | N |
| Credentials | PHD LLP |
NPI Number Detail
| NPI Number | 1427028471 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 3330 Claystone St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495467716 |
| Phone Number | 6169428060 |
| Fax Number | 6169426690 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301010366 |
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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 Judith A Vanderwal by the Centers for Medicare & Medicaid Services?
The Judith A Vanderwal has been assigned the NPI (National Provider Identifier) 1427028471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Judith A Vanderwal's facilities are geographically located?
The facilities of Judith A Vanderwal are physically situated at the following location: 3330 Claystone St Se, Grand Rapids, MI, 495467716.
What is the Judith A Vanderwal's specialty and taxonomy code?
The Judith A Vanderwal's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Judith A Vanderwal receive its 1427028471 assignment from the Centers for Medicare & Medicaid Services?
The Judith A Vanderwal was assigned its 1427028471 by the Centers for Medicare & Medicaid Services on 2006-01-24.
When was the Judith A Vanderwal's information last updated?
The Judith A Vanderwal's information was last updated on 2008-06-26.
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