Dr. Claude Wakefield Eggertsen
Clinical Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
288 S Main St Suite 1
Romeo
, Michigan 48065-5133
Dr. Claude Wakefield Eggertsen
Clinical Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
288 S Main St Suite 1
Romeo
, Michigan 48065-5133
(586) 677-7809
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Claude Wakefield Eggertsen
- 52976 Westcreek Dr
- Macomb, MI
- Zip : 48042-2976
- Fax : (586) 677-7809
- Phone : (586) 677-7810
Second Address
- Dr. Claude Wakefield Eggertsen
- 288 S Main St Suite 1
- Romeo, MI
- Zip : 48065-5133
- Fax : (586) 677-7809
- Phone : (248) 496-2871
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
| N | 103G00000X | Clinical Psychologist | 003213 | MI |
| N | 103TC0700X | Clinical Psychologist | 003213 | MI |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1235157512 |
|---|---|
| Provider Name | Dr. Claude Wakefield Eggertsen |
| First Address | Macomb, MI 48042-2976 |
| Second Address | Romeo, MI 48065-5133 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| R67170 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.