Beth Joy Blackbird in Grand Rapids - Rehabilitation

Beth Joy Blackbird - NPI 1689631251

Beth Joy Blackbird is a Rehabilitation in Grand Rapids, Michigan. Beth Joy Blackbird practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Beth Joy Blackbird is 1689631251. The last update date is 2007-07-08.

Beth Joy Blackbird's current location address is 235 Wealthy St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6162429201. The mailing address for Beth Joy Blackbird is 235 Wealthy St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Beth Joy Blackbird
Address 235 Wealthy St Se, Grand Rapids, Michigan
Phone Number 6162429201
Fax Number
Sole Proprietor N
Credentials PSYD

NPI Number Detail

NPI Number 1689631251
Provider Enumeration Date 2006-04-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 235 Wealthy St Se
City Grand Rapids
State Michigan (MI)
Post Code 495035247
Phone Number 6162429201
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 103Tr0400X
Licence No 6301010300
Definition:
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BB010300 PRIORITY HEALTH BLUE CROS

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FAQs about Beth Joy Blackbird

What is the unique 10-digit identifier code assigned to Beth Joy Blackbird by the Centers for Medicare & Medicaid Services?

The Beth Joy Blackbird has been issued the NPI (National Provider Identifier) 1689631251 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Beth Joy Blackbird's facilities are geographically located?

The facilities of Beth Joy Blackbird are physically situated at the following location: 235 Wealthy St Se, Grand Rapids, MI, 495035247.

What is Beth Joy Blackbird's specialized field of practice, and what is the corresponding taxonomy classification code?

The Beth Joy Blackbird's area of specialization is Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 103Tr0400X.

When did the Beth Joy Blackbird receive its 1689631251?

The Beth Joy Blackbird was issued its 1689631251 on 2006-04-27, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Beth Joy Blackbird most recently updated or revised?

The details related to Beth Joy Blackbird, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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