| Theresa Anderson-varney P.c. | |
|
1019 Parchment Dr Se Grand Rapids MI 49546-3664 | |
| (616) 285-8868 | |
| (616) 285-8875 |
| Full Name | Theresa Anderson-varney P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1019 Parchment Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Theresa Anderson-varney (PRESIDENT) |
| Authorized Official Contact | 6162858868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Anderson-varney P.c. 1019 Parchment Dr Se Grand Rapids MI 49546-3664 Ph: (616) 285-8868 | Theresa Anderson-varney P.c. 1019 Parchment Dr Se Grand Rapids MI 49546-3664 Ph: (616) 285-8868 |
| NPI Number | 1982906871 |
|---|---|
| Provider Enumeration Date | 11/26/2010 |
| Last Update Date | 11/26/2010 |
| Medicare PECOS PAC ID | 9234390816 |
|---|---|
| Medicare Enrollment ID | O20120406000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982906871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Michigan) | Primary |
| Provider Name | Theresa Anderson Varney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760489793 PECOS PAC ID: 0143481721 Enrollment ID: I20120406000239 |
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