Michael Alan Jansen in Holland - Clinical Child & Adolescent

Michael Alan Jansen - NPI 1154501062

Michael Alan Jansen is a Clinical Child & Adolescent in Holland, Michigan. Michael Alan Jansen practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Michael Alan Jansen is 1154501062. The last update date is 2014-03-14.

Michael Alan Jansen's current location address is 854 Washington Ave Ste 330, Holland, Michigan. You can contact this provider via phone number 6163553926 and fax number 6163936651. The mailing address for Michael Alan Jansen is 854 Washington Ave Ste 330, Holland, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Alan Jansen
Address 854 Washington Ave Ste 330, Holland, Michigan
Phone Number 6163553926
Fax Number 6163936651
Sole Proprietor N
Credentials PHD, LP

NPI Number Detail

NPI Number 1154501062
Provider Enumeration Date 2007-11-08
Last Updated Date 2014-03-14

Provider Mailing Address Detail

Address 854 Washington Ave Ste 330
City Holland
State Michigan (MI)
Post Code 494237141
Phone Number 6163553926
Fax Number 6163936651

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6301013771
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 Michael Alan Jansen

What is the unique identifier code issued to Michael Alan Jansen by the Centers for Medicare & Medicaid Services?

The Michael Alan Jansen has been assigned the NPI (National Provider Identifier) 1154501062. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Michael Alan Jansen?

The Michael Alan Jansen is situated at 854 Washington Ave Ste 330, in the city of Holland, state of MI, with the zip code 494237141.

What is Michael Alan Jansen's area of expertise and its corresponding taxonomy classification?

The Michael Alan Jansen's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154501062 to Michael Alan Jansen?

The Centers for Medicare & Medicaid Services originally issued the 1154501062 to Michael Alan Jansen on 2007-11-08.

When was the information pertaining to Michael Alan Jansen most recently updated or revised?

The details related to Michael Alan Jansen, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-14.

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