Organization Name: | DANIEL G. ROOKS, PSY.D., P.C. |
NPI Number: | 1023213279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL ROOKS (PRESIDENT) |
Mailing Address: | 3124 N Wellness Dr Suite 30 Holland |
State: | MI US |
Postal Code: | 494248121 |
Phone Number: | 6167863350 |
Fax Number: | 6167863375 |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 12/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301008267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |