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Michael Vredevoogd Pc
Adult Mental Health Clinic/Center in Clinton Township, Michigan
NPI 1114108974

Michael Vredevoogd Pc is an Adult Mental Health Clinic/Center based in Clinton Township, MI and is specialized in Adult Mental Health. Michael Vredevoogd Pc practices in Clinton Township, MI. The NPI Number for Michael Vredevoogd Pc is 1114108974 and holds a License No. 63010066531 (Michigan).

The current practice location address for Michael Vredevoogd Pc is 36385 Harper Ave, Clinton Township, MI and can be reached out via phone at 586-741-0295.

Location: 36385 Harper Ave, Clinton Township, MI, 48035-4635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114108974
Provider Name
Michael Vredevoogd Pc
Credential
Provider Entity Type
Organization
Address
36385 Harper Ave, Clinton Township, MI, 48035-4635
Phone Number
586-741-0295
Fax Number
Provider Enumeration Date
11/21/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
36385 Harper Ave
City
Clinton Township
State
Michigan
Zip
48035-4635
Phone Number
586-741-0295
Fax Number
person
Provider Business Mailing Address Details
Address
36385 Harper Ave
City
Clinton Township
State
Michigan
Zip
48035-4635
Phone Number
586-741-0295
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
63010066531 (Michigan)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
63010066531 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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person
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