Peggy Joanne Burke in Grand Rapids - Adult Development & Aging

Peggy Joanne Burke - NPI 1124230644

Peggy Joanne Burke is a Adult Development & Aging in Grand Rapids, Michigan. Peggy Joanne Burke practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Peggy Joanne Burke is 1124230644. The last update date is 2007-07-08.

Peggy Joanne Burke's current location address is 4467 Cascade Rd., Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169401659 and fax number 6169402853. The mailing address for Peggy Joanne Burke is 4467 Cascade Rd., Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Peggy Joanne Burke
Address 4467 Cascade Rd., Se, Grand Rapids, Michigan
Phone Number 6169401659
Fax Number 6169402853
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1124230644
Provider Enumeration Date 2007-05-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4467 Cascade Rd., Se
City Grand Rapids
State Michigan (MI)
Post Code 495463632
Phone Number 6169401659
Fax Number 6169402853

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No 6301007618
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

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FAQs about Peggy Joanne Burke

What is the unique 10-digit identification code assigned to Peggy Joanne Burke by the Centers for Medicare & Medicaid Services?

The Peggy Joanne Burke has been issued the NPI (National Provider Identifier) 1124230644, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Peggy Joanne Burke is physically located?

The Peggy Joanne Burke is situated at the following address: 4467 Cascade Rd., Se, Grand Rapids, MI 495463632.

What is the area of specialization for Peggy Joanne Burke, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Peggy Joanne Burke is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of expertise is 103Ta0700X.

When did the Peggy Joanne Burke receive its 1124230644?

The Peggy Joanne Burke was issued its 1124230644 on 2007-05-04, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Peggy Joanne Burke most recently updated or revised?

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

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