Mr. Peter Joseph Zoutendyk JR.
Clinical Social Worker
810 S Garfield Ave Ste B
Traverse City
, Michigan 49686-2406
Mr. Peter Joseph Zoutendyk JR.
Clinical Social Worker
810 S Garfield Ave Ste B
Traverse City
, Michigan 49686-2406
(231) 947-0511
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. Peter Joseph Zoutendyk JR.
- 810 S Garfield Ave Ste B
- Traverse City, MI
- Zip : 49686-2406
- Phone : (231) 947-0511
Second Address
- Mr. Peter Joseph Zoutendyk JR.
- 810 S Garfield Ave Ste B
- Traverse City, MI
- Zip : 49686-2406
- Phone : (231) 947-0511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 6801005145 | MI |
National Provider Identifier
| NPI | 1003026758 |
|---|---|
| Provider Name | Mr. Peter Joseph Zoutendyk JR. |
| First Address | Traverse City, MI 49686-2406 |
| Second Address | Traverse City, MI 49686-2406 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2007 |
| Last Update Date | 20/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 401005294 | MARRIAGE AND FAMILY (01) | 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.