Clyde A Richardson M DIV CAC-R

  • NPI 1275709826
According to our database, the NPI number for Clyde A Richardson M DIV CAC-R is 1275709826 and activated since 16 years ago. Clyde A Richardson M DIV CAC-R is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 3210 Eagle Run Dr, Grand Rapids, MI 49525. You can also contact Clyde A Richardson M DIV CAC-R via telephone number is (616) 957-1200. Provider NPI information was last updated on 06/26/2009.

Recently Active NPIs

Overview of Clyde A Richardson M DIV CAC-R

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/05/2008
  • Last updated: 06/26/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 6802067415
  • License State: MI

Provider Mailing Address

  • Address: 3210 Eagle Run Dr
    Suite 200
    Grand Rapids, MI 49525
  • Phone: 616-957-1200
  • Fax: 616-957-1297

Provider Practice Location

  • Address: 3210 Eagle Run Dr
    Suite 200
    Grand Rapids, MI 49525
  • Phone: 616-957-1200
  • Fax: 616-957-1297

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 6802067415
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: NONE
  • Identifier Type: Other
  • Identifier State:
  • Issuer: NONE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Clyde A Richardson M DIV CAC-R?
  • A: The npi number for Clyde A Richardson M DIV CAC-R is 1275709826.
  • Q: What are Clyde A Richardson M DIV CAC-R's specialties?
  • A: Clyde A Richardson M DIV CAC-R's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Clyde A Richardson M DIV CAC-R?
  • A: The medical license number for Clyde A Richardson M DIV CAC-R is 6802067415 and issued in MI in USA.
  • Q: Where is Clyde A Richardson M DIV CAC-R practice location?
  • A: Clyde A Richardson M DIV CAC-R is practicing at 3210 Eagle Run Dr, Grand Rapids, MI 49525.
  • Q: How to contact Clyde A Richardson M DIV CAC-R?
  • A: You can contact Clyde A Richardson M DIV CAC-R via 616-957-1200.