David Uitdeflesch in Grand Rapids - Clinical Child & Adolescent
David Uitdeflesch - NPI 1962535856
David Uitdeflesch is a Clinical Child & Adolescent in Grand Rapids, Michigan. David Uitdeflesch practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for David Uitdeflesch is 1962535856. The last update date is 2013-07-02.
David Uitdeflesch's current location address is 1700 E Beltline Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163641500 and fax number 6163646400. The mailing address for David Uitdeflesch is 1700 E Beltline Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Uitdeflesch |
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Address | 1700 E Beltline Ave Ne, Grand Rapids, Michigan |
Phone Number | 6163641500 |
Fax Number | 6163646400 |
Sole Proprietor | N |
Credentials | MA, LLP |
NPI Number Detail
NPI Number | 1962535856 |
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Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2013-07-02 |
Provider Mailing Address Detail
Address | 1700 E Beltline Ave Ne |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495257044 |
Phone Number | 6163641500 |
Fax Number | 6163646400 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Child & Adolescent |
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Taxonomy | 103Tc2200X |
Licence No | 6301009268 |
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique provider identifier assigned to David Uitdeflesch?
The David Uitdeflesch has been issued the NPI (National Provider Identifier) 1962535856 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the David Uitdeflesch's physical address?
The David Uitdeflesch is physically located at 1700 E Beltline Ave Ne, in the city of Grand Rapids, MI, with the postal code 495257044.
What is David Uitdeflesch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David Uitdeflesch is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did David Uitdeflesch receive its 1962535856 assignment from the Centers for Medicare & Medicaid Services?
The David Uitdeflesch was assigned its 1962535856 on 2007-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to David Uitdeflesch most recently updated or revised?
The information pertaining to David Uitdeflesch, including its address, specialty, and other relevant details, was last updated or revised on 2013-07-02.
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