Judith Ellen Snow in Grand Rapids - Cognitive & Behavioral
Judith Ellen Snow - NPI 1770761850
Judith Ellen Snow is a Cognitive & Behavioral in Grand Rapids, Michigan. Judith Ellen Snow practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Judith Ellen Snow is 1770761850. The last update date is 2008-01-31.
Judith Ellen Snow's current location address is 3501 Lake Eastbrook Blvd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169549850 and fax number 6169549852. The mailing address for Judith Ellen Snow is 3501 Lake Eastbrook Blvd Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Ellen Snow |
|---|---|
| Address | 3501 Lake Eastbrook Blvd Se, Grand Rapids, Michigan |
| Phone Number | 6169549850 |
| Fax Number | 6169549852 |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1770761850 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 3501 Lake Eastbrook Blvd Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495465938 |
| Phone Number | 6169549850 |
| Fax Number | 6169549852 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 6301009661 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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What is the unique identifier code issued to Judith Ellen Snow by the Centers for Medicare & Medicaid Services?
The Judith Ellen Snow has been assigned the NPI (National Provider Identifier) 1770761850. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Judith Ellen Snow is physically located?
The Judith Ellen Snow is situated at the following address: 3501 Lake Eastbrook Blvd Se, Grand Rapids, MI 495465938.
What is Judith Ellen Snow's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judith Ellen Snow's area of specialization is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this field of practice is 103Tb0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770761850 to Judith Ellen Snow?
The Centers for Medicare & Medicaid Services originally issued the 1770761850 to Judith Ellen Snow on 2008-01-31.
As of what date was the information regarding Judith Ellen Snow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Judith Ellen Snow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-31.
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