Susan De Waard in Grand Rapids - Cognitive & Behavioral
Susan De Waard - NPI 1215002811
Susan De Waard is a Cognitive & Behavioral in Grand Rapids, Michigan. Susan De Waard practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Susan De Waard is 1215002811. The last update date is 2007-07-08.
Susan De Waard's current location address is 201 Sheldon Blvd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164594212 and fax number 6167749022. The mailing address for Susan De Waard is 201 Sheldon Blvd Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan De Waard |
|---|---|
| Address | 201 Sheldon Blvd Se, Grand Rapids, Michigan |
| Phone Number | 6164594212 |
| Fax Number | 6167749022 |
| Sole Proprietor | Y |
| Credentials | M.A., LLP |
NPI Number Detail
| NPI Number | 1215002811 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 201 Sheldon Blvd Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034513 |
| Phone Number | 6164594212 |
| Fax Number | 6167749022 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 6301002554 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Susan De Waard by the Centers for Medicare & Medicaid Services?
The Susan De Waard has been assigned the NPI (National Provider Identifier) 1215002811. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan De Waard's facilities are situated?
The facilities of Susan De Waard are physically located at the following address: 201 Sheldon Blvd Se, Grand Rapids, MI, 495034513.
What is Susan De Waard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan De Waard is Cognitive & Behavioral, and the taxonomy code that categorizes this field of expertise is 103Tb0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215002811 to Susan De Waard?
The Centers for Medicare & Medicaid Services assigned the 1215002811 to Susan De Waard on 2006-11-21.
When was the information pertaining to Susan De Waard most recently updated or revised?
The details related to Susan De Waard, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.