Peggy Joanne Burke in Grand Rapids - Cognitive & Behavioral
Peggy Joanne Burke - NPI 1124230644
Peggy Joanne Burke is a Cognitive & Behavioral in Grand Rapids, Michigan. Peggy Joanne Burke practices all healthcare services and medical treatments related to Cognitive & Behavioral. 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 | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 6301007618 |
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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 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 Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this area of expertise is 103Tb0200X.
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.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY