Mary Beth Child in Grand Rapids - Cognitive & Behavioral

Mary Beth Child - NPI 1073722542

Mary Beth Child is a Cognitive & Behavioral in Grand Rapids, Michigan. Mary Beth Child practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Mary Beth Child is 1073722542. The last update date is 2011-03-29.

Mary Beth Child's current location address is 4701 Plainfield Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163613398 and fax number 6163613395. The mailing address for Mary Beth Child is 4701 Plainfield Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Beth Child
Address 4701 Plainfield Ave Ne, Grand Rapids, Michigan
Phone Number 6163613398
Fax Number 6163613395
Sole Proprietor Y
Credentials LLP

NPI Number Detail

NPI Number 1073722542
Provider Enumeration Date 2007-05-22
Last Updated Date 2011-03-29

Provider Mailing Address Detail

Address 4701 Plainfield Ave Ne
City Grand Rapids
State Michigan (MI)
Post Code 495251644
Phone Number 6163613398
Fax Number 6163613395

Provider's Primary Taxonomy Detail

Speciality Cognitive & Behavioral
Taxonomy 103Tb0200X
Licence No 6301010573
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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FAQs about Mary Beth Child

What is the unique provider identifier assigned to Mary Beth Child?

The Mary Beth Child has been issued the NPI (National Provider Identifier) 1073722542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Mary Beth Child is located?

The Mary Beth Child is situated at the following address: 4701 Plainfield Ave Ne, Grand Rapids, MI, 495251644.

What is the area of specialization for Mary Beth Child, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Beth Child is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this area of expertise is 103Tb0200X.

On what date did the Mary Beth Child receive the assignment of its 1073722542 from the Centers for Medicare & Medicaid Services?

The Mary Beth Child was issued its 1073722542 by the Centers for Medicare & Medicaid Services on 2007-05-22.

As of what date were the Mary Beth Child's details last updated?

The information pertaining to the Mary Beth Child, including its address, specialty, and other details, was most recently updated on 2011-03-29.

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