David Michael Van Pelt in Sikeston - Clinical

David Michael Van Pelt - NPI 1821066242

David Michael Van Pelt is a Clinical in Sikeston, Missouri. David Michael Van Pelt practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Michael Van Pelt is 1821066242. The last update date is 2014-02-28.

David Michael Van Pelt's current location address is 903 S Kingshighway St, Sikeston, Missouri. You can contact this provider via phone number 5734722139 and fax number 5734726457. The mailing address for David Michael Van Pelt is 903 S Kingshighway St, Sikeston, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name David Michael Van Pelt
Address 903 S Kingshighway St, Sikeston, Missouri
Phone Number 5734722139
Fax Number 5734726457
Sole Proprietor Y
Credentials PSY.D

NPI Number Detail

NPI Number 1821066242
Provider Enumeration Date 2006-03-10
Last Updated Date 2014-02-28

Provider Mailing Address Detail

Address 903 S Kingshighway St
City Sikeston
State Missouri (MO)
Post Code 638014415
Phone Number 5734722139
Fax Number 5734726457

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No MO2005015544
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
SDA3992113 MO CHILD TREATMENT SERVICES
499322014 MO --

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FAQs about David Michael Van Pelt

What is the unique 10-digit identifier code issued to David Michael Van Pelt by the Centers for Medicare & Medicaid Services?

The David Michael Van Pelt has been assigned the NPI (National Provider Identifier) 1821066242 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where David Michael Van Pelt's facilities are situated?

The facilities of David Michael Van Pelt are physically located at the following address: 903 S Kingshighway St, Sikeston, MO, 638014415.

What is David Michael Van Pelt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for David Michael Van Pelt is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

On what date did the David Michael Van Pelt receive its 1821066242 assignment from the Centers for Medicare & Medicaid Services?

The David Michael Van Pelt was assigned its 1821066242 by the Centers for Medicare & Medicaid Services on 2006-03-10.

When was the information regarding David Michael Van Pelt most recently updated?

The details pertaining to the David Michael Van Pelt, including its address, specialty, and other relevant information, were last refreshed on 2014-02-28.

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