Debbie Koeltzow is a Clinical in Brighton, Michigan. Debbie Koeltzow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Debbie Koeltzow is 1902004070. The last update date is 2009-04-27.
Debbie Koeltzow's current location address is 810 E Grand River Ave, Brighton, Michigan. You can contact this provider via phone number 8105884236 and fax number 8105884247. The mailing address for Debbie Koeltzow is 810 E Grand River Ave, Brighton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debbie Koeltzow |
|---|---|
| Address | 810 E Grand River Ave, Brighton, Michigan |
| Phone Number | 8105884236 |
| Fax Number | 8105884247 |
| Sole Proprietor | N |
| Credentials | EDD, LP |
NPI Number Detail
| NPI Number | 1902004070 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2009-04-27 |
Provider Mailing Address Detail
| Address | 810 E Grand River Ave |
|---|---|
| City | Brighton |
| State | Michigan (MI) |
| Post Code | 481161878 |
| Phone Number | 8105884236 |
| Fax Number | 8105884247 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301011430 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68OH113370 | MI | BC/BC OF MICHIGAN | |
| 143449 | MI | VALUE OPTIONS | |
| 382695674 | MI | PPOM | |
| 382695674 | MI | CIGNA BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Debbie Koeltzow?
The Debbie Koeltzow has been issued the NPI (National Provider Identifier) 1902004070 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 Debbie Koeltzow?
The Debbie Koeltzow is situated at 810 E Grand River Ave, in the city of Brighton, state of MI, with the zip code 481161878.
What is Debbie Koeltzow's area of expertise and its corresponding taxonomy classification?
The Debbie Koeltzow's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1902004070 assigned to Debbie Koeltzow?
The Debbie Koeltzow was issued its 1902004070 on 2007-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Debbie Koeltzow most recently updated or refreshed?
The details pertaining to the Debbie Koeltzow, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-27.
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