Cherry Street Services, Inc. in Grand Rapids - Clinical Neuropsychologist
Cherry Street Services, Inc. - NPI 1891867495
Cherry Street Services, Inc. is a Clinical Neuropsychologist in Grand Rapids, Michigan. Cherry Street Services, Inc. practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Cherry Street Services, Inc. is 1891867495. The last update date is 2018-05-07.
Cherry Street Services, Inc.'s current location address is 100 Cherry St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169658200 and fax number 6169405366. The mailing address for Cherry Street Services, Inc. is 100 Cherry St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Cherry Street Services, Inc. |
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Address | 100 Cherry St Se, Grand Rapids, Michigan |
Phone Number | 6169658200 |
Fax Number | 6169405366 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Blackmon Tasha |
Telephone Number | 6169658200 |
NPI Number Detail
NPI Number | 1891867495 |
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Provider Enumeration Date | 2006-11-15 |
Last Updated Date | 2018-05-07 |
Provider Mailing Address Detail
Address | 100 Cherry St Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495034526 |
Phone Number | 6169658200 |
Fax Number | 6169405366 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
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 Cherry Street Services, Inc.'s 1891867495?
The Cherry Street Services, Inc.'s NPI (National Provider Identifier) Number is 1891867495. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Cherry Street Services, Inc.?
The Cherry Street Services, Inc. is physically situated at 100 Cherry St Se, in the city of Grand Rapids, state of MI, with the postal code 495034526.
What is Cherry Street Services, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Cherry Street Services, Inc. is Clinical Neuropsychologist, and the corresponding taxonomy classification code for this specialized field is 103G00000X.
When did the Cherry Street Services, Inc. receive its 1891867495?
The Cherry Street Services, Inc. was issued its 1891867495 on 2006-11-15, which is the date when the organization was assigned this unique identifier.
As of what date were the Cherry Street Services, Inc.'s details last updated?
The information pertaining to the Cherry Street Services, Inc., including its address, specialty, and other details, was most recently updated on 2018-05-07.