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NTL ADULT FOSTER CARE NPI 1316451065


NPI Information

NPI: 1316451065
Provider Name: NTL ADULT FOSTER CARE
Classification: Psychologist - 103TA0700X
Entity Type: Organization

Specialization: Adult Development & Aging

Address:
1056 BATES ST SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 647-5945
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NTL ADULT FOSTER CARE is an adult development and aging psychologist in Grand Rapids, MI. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. NTL ADULT FOSTER CARE NPI is 1316451065. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1056 BATES ST SE
GRAND RAPIDS, MI
ZIP 49506-681
Phone: (616) 647-5945

The provider's authorized official is Johnnie R Tyler .
The authorized official title is Owner and has the following contact phone number (616) 375-9786.

The enumeration date for this NPI number is 11/16/2017 and was last updated on 11/16/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0700XPsychologistAdult Development & AgingYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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