Ronald Dale Fandrick in Lansing - Psychologist

Ronald Dale Fandrick - NPI 1881762250

Ronald Dale Fandrick is a Psychologist in Lansing, Michigan. Ronald Dale Fandrick practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ronald Dale Fandrick is 1881762250. The last update date is 2010-06-18.

Ronald Dale Fandrick's current location address is 3815 W Saint Joseph St Ste A400, Lansing, Michigan. You can contact this provider via phone number 5173234531 and fax number 5173234531. The mailing address for Ronald Dale Fandrick is 3815 W Saint Joseph St Ste A400, Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Dale Fandrick
Address 3815 W Saint Joseph St Ste A400, Lansing, Michigan
Phone Number 5173234531
Fax Number 5173234531
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1881762250
Provider Enumeration Date 2006-12-01
Last Updated Date 2010-06-18

Provider Mailing Address Detail

Address 3815 W Saint Joseph St Ste A400
City Lansing
State Michigan (MI)
Post Code 489175600
Phone Number 5173234531
Fax Number 5173234531

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 6301008822
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Ronald Dale Fandrick

What is the unique 10-digit identification code issued to Ronald Dale Fandrick by the Centers for Medicare & Medicaid Services?

The Ronald Dale Fandrick has been assigned the NPI (National Provider Identifier) 1881762250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Ronald Dale Fandrick?

The Ronald Dale Fandrick is situated at 3815 W Saint Joseph St Ste A400, in the city of Lansing, state of MI, with the zip code 489175600.

What is the Ronald Dale Fandrick's specialty and taxonomy code?

The Ronald Dale Fandrick's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881762250 to Ronald Dale Fandrick?

The Centers for Medicare & Medicaid Services originally issued the 1881762250 to Ronald Dale Fandrick on 2006-12-01.

As of what date was the information regarding Ronald Dale Fandrick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ronald Dale Fandrick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-18.

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