Larry R Teitsma is a Clinical in Grand Rapids, Michigan. Larry R Teitsma practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry R Teitsma is 1295707412. The last update date is 2008-06-26.
Larry R Teitsma'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 Larry R Teitsma is 3330 Claystone St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry R Teitsma |
|---|---|
| Address | 3330 Claystone St Se, Grand Rapids, Michigan |
| Phone Number | 6169428060 |
| Fax Number | 6169426690 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1295707412 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| 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 | 6301001766 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Larry R Teitsma by the Centers for Medicare & Medicaid Services?
The Larry R Teitsma has been assigned the NPI (National Provider Identifier) 1295707412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Larry R Teitsma is physically located?
The Larry R Teitsma is physically situated at the following address: 3330 Claystone St Se, Grand Rapids, MI, 495467716.
What is Larry R Teitsma's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry R Teitsma's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Larry R Teitsma receive its 1295707412 assignment from the Centers for Medicare & Medicaid Services?
The Larry R Teitsma was assigned its 1295707412 on 2006-02-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Larry R Teitsma, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry R Teitsma, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-26.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK