Peggy Van Raalte is a Clinical in Montclair, New Jersey. Peggy Van Raalte practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peggy Van Raalte is 1801008883. The last update date is 2007-07-08.
Peggy Van Raalte's current location address is 19 Brunswick Rd, Montclair, New Jersey. You can contact this provider via phone number 9737467822. The mailing address for Peggy Van Raalte is 19 Brunswick Rd, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy Van Raalte |
|---|---|
| Address | 19 Brunswick Rd, Montclair, New Jersey |
| Phone Number | 9737467822 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1801008883 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19 Brunswick Rd |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 70423027 |
| Phone Number | 9737467822 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2327 |
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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 Peggy Van Raalte by the Centers for Medicare & Medicaid Services?
The Peggy Van Raalte has been assigned the NPI (National Provider Identifier) 1801008883. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Peggy Van Raalte's facilities are situated?
The facilities of Peggy Van Raalte are physically located at the following address: 19 Brunswick Rd, Montclair, NJ, 70423027.
What is Peggy Van Raalte's specialized field of practice, and what is the corresponding taxonomy classification code?
The Peggy Van Raalte's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801008883 to Peggy Van Raalte?
The Centers for Medicare & Medicaid Services originally issued the 1801008883 to Peggy Van Raalte on 2007-05-04.
As of what date were the details pertaining to Peggy Van Raalte last refreshed?
The information related to the Peggy Van Raalte, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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