Andrea Lee Rotzien in Grand Rapids - Clinical Child & Adolescent
Andrea Lee Rotzien - NPI 1164694006
Andrea Lee Rotzien is a Clinical Child & Adolescent in Grand Rapids, Michigan. Andrea Lee Rotzien practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Andrea Lee Rotzien is 1164694006. The last update date is 2012-06-06.
Andrea Lee Rotzien'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 Andrea Lee Rotzien is 4701 Plainfield Ave. Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Lee Rotzien |
|---|---|
| Address | 4701 Plainfield Ave. Ne, Grand Rapids, Michigan |
| Phone Number | 6163613398 |
| Fax Number | 6163613395 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1164694006 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2012-06-06 |
Provider Mailing Address Detail
| Address | 4701 Plainfield Ave. Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49525 |
| Phone Number | 6163613398 |
| Fax Number | 6163613395 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 6301012014 |
|
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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What is the unique 10-digit identification code issued to Andrea Lee Rotzien by the Centers for Medicare & Medicaid Services?
The Andrea Lee Rotzien has been assigned the NPI (National Provider Identifier) 1164694006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Andrea Lee Rotzien's facilities are geographically located?
The facilities of Andrea Lee Rotzien are physically situated at the following location: 4701 Plainfield Ave. Ne, Grand Rapids, MI, 49525.
What is Andrea Lee Rotzien's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea Lee Rotzien's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
When was the Andrea Lee Rotzien's 1164694006 issued?
The Andrea Lee Rotzien's 1164694006 was issued on 2008-04-01.
As of what date were the details related to Andrea Lee Rotzien most recently updated or revised?
The information pertaining to Andrea Lee Rotzien, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-06.
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