Michael Vredevoogd Pc in Clinton Township - Clinical Neuropsychologist
Michael Vredevoogd Pc - NPI 1114108974
Michael Vredevoogd Pc is a Clinical Neuropsychologist in Clinton Township, Michigan. Michael Vredevoogd Pc practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Michael Vredevoogd Pc is 1114108974. The last update date is 2007-11-21.
Michael Vredevoogd Pc's current location address is 36385 Harper Ave, Clinton Township, Michigan. You can contact this provider via phone number 5867410295. The mailing address for Michael Vredevoogd Pc is 36385 Harper Ave, Clinton Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael Vredevoogd Pc |
|---|---|
| Address | 36385 Harper Ave, Clinton Township, Michigan |
| Phone Number | 5867410295 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Vredevoogd James Michael |
| Telephone Number | 5867410295 |
NPI Number Detail
| NPI Number | 1114108974 |
|---|---|
| Provider Enumeration Date | 2007-11-21 |
| Last Updated Date | 2007-11-21 |
Provider Mailing Address Detail
| Address | 36385 Harper Ave |
|---|---|
| City | Clinton Township |
| State | Michigan (MI) |
| Post Code | 480354635 |
| Phone Number | 5867410295 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 63010066531 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identification code assigned to Michael Vredevoogd Pc by the Centers for Medicare & Medicaid Services?
The Michael Vredevoogd Pc has been issued the NPI (National Provider Identifier) 1114108974, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michael Vredevoogd Pc is located?
The Michael Vredevoogd Pc is situated at the following address: 36385 Harper Ave, Clinton Township, MI, 480354635.
What is Michael Vredevoogd Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael Vredevoogd Pc is Clinical Neuropsychologist, and the taxonomy classification code that categorizes this area of expertise is 103G00000X.
When was the Michael Vredevoogd Pc's 1114108974 issued?
The Michael Vredevoogd Pc's 1114108974 was issued on 2007-11-21.
When was the Michael Vredevoogd Pc's information last updated?
The Michael Vredevoogd Pc's information was last updated on 2007-11-21.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY