Shaunene Van Buren in Grand Rapids - Clinical
Shaunene Van Buren - NPI 1558323832
Shaunene Van Buren is a Clinical in Grand Rapids, Michigan. Shaunene Van Buren practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shaunene Van Buren is 1558323832. The last update date is 2008-01-09.
Shaunene Van Buren's current location address is 1870 Leonard Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169561122 and fax number 6169568033. The mailing address for Shaunene Van Buren is 1870 Leonard Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shaunene Van Buren |
|---|---|
| Address | 1870 Leonard Ne, Grand Rapids, Michigan |
| Phone Number | 6169561122 |
| Fax Number | 6169568033 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1558323832 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 1870 Leonard Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49505 |
| Phone Number | 6169561122 |
| Fax Number | 6169568033 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301010537 |
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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 identifier code issued to Shaunene Van Buren by the Centers for Medicare & Medicaid Services (CMS)?
The Shaunene Van Buren has been assigned the NPI (National Provider Identifier) 1558323832. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Shaunene Van Buren is located?
The Shaunene Van Buren is situated at the following address: 1870 Leonard Ne, Grand Rapids, MI, 49505.
What is the area of specialization for Shaunene Van Buren, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shaunene Van Buren is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Shaunene Van Buren receive its 1558323832 assignment from the Centers for Medicare & Medicaid Services?
The Shaunene Van Buren was assigned its 1558323832 by the Centers for Medicare & Medicaid Services on 2006-04-04.
When was the information regarding Shaunene Van Buren, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shaunene Van Buren, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-09.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN