Mary Beth Child
Cognitive & Behavioral Psychologist
4701 Plainfield Ave Ne Suite C
Grand Rapids
, Michigan 49525-1644
Mary Beth Child
Cognitive & Behavioral Psychologist
4701 Plainfield Ave Ne Suite C
Grand Rapids
, Michigan 49525-1644
(616) 361-3395
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Mary Beth Child
- 4701 Plainfield Ave Ne Suite C
- Grand Rapids, MI
- Zip : 49525-1644
- Fax : (616) 361-3395
- Phone : (616) 361-3398
Second Address
- Mary Beth Child
- 4701 Plainfield Ave Ne Suite C
- Grand Rapids, MI
- Zip : 49525-1644
- Fax : (616) 361-3395
- Phone : (616) 361-3398
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 6301010573 | MI |
National Provider Identifier
| NPI | 1073722542 |
|---|---|
| Provider Name | Mary Beth Child |
| First Address | Grand Rapids, MI 49525-1644 |
| Second Address | Grand Rapids, MI 49525-1644 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 29/03/2011 |
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.