Greta R Priestap in Berkley - Clinical Child & Adolescent

Greta R Priestap - NPI 1962699561

Greta R Priestap is a Clinical Child & Adolescent in Berkley, Michigan. Greta R Priestap practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Greta R Priestap is 1962699561. The last update date is 2007-09-27.

Greta R Priestap's current location address is 1695 W 12 Mile Rd, Berkley, Michigan. You can contact this provider via phone number 2486914774 and fax number 2486918129. The mailing address for Greta R Priestap is 1695 W 12 Mile Rd, Berkley, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Greta R Priestap
Address 1695 W 12 Mile Rd, Berkley, Michigan
Phone Number 2486914774
Fax Number 2486918129
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1962699561
Provider Enumeration Date 2007-09-27
Last Updated Date 2007-09-27

Provider Mailing Address Detail

Address 1695 W 12 Mile Rd
City Berkley
State Michigan (MI)
Post Code 480722182
Phone Number 2486914774
Fax Number 2486918129

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6301012676
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Greta R Priestap

What is the unique 10-digit identifier code assigned to Greta R Priestap by the Centers for Medicare & Medicaid Services?

The Greta R Priestap has been issued the NPI (National Provider Identifier) 1962699561 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Greta R Priestap is physically located?

The Greta R Priestap is situated at the following address: 1695 W 12 Mile Rd, Berkley, MI 480722182.

What is the area of specialization for Greta R Priestap, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Greta R Priestap is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

When was the Greta R Priestap's 1962699561 issued?

The Greta R Priestap's 1962699561 was issued on 2007-09-27.

As of what date were the Greta R Priestap's details last updated?

The information pertaining to the Greta R Priestap, including its address, specialty, and other details, was most recently updated on 2007-09-27.

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