Mr David Uitdeflesch, MA, LLP is a
Psychologist - Clinical based in Grand Rapids, Michigan. Mr David Uitdeflesch is licensed to practice in Michigan (license number 6361001214) and his current practice location is
2828 Kraft Ave Se Ste 186, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 949-9550.
NPI number for Mr David Uitdeflesch is 1962535856 and his current mailing address is 2828 Kraft Ave Se Ste 186, Grand Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962535856.
Healthcare Provider's Profile
Full Name | Mr David Uitdeflesch |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2828 Kraft Ave Se Ste 186, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962535856
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 01/31/2025
Medical Identifiers
Medical identifiers for Mr David Uitdeflesch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962535856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | (Michigan) | Secondary |
103TC0700X | Psychologist - Clinical | 6361001214 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Uitdeflesch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr David Uitdeflesch, MA, LLP 2828 Kraft Ave Se Ste 186, Grand Rapids, MI 49512-2076 Ph: (616) 949-9550 | Mr David Uitdeflesch, MA, LLP 2828 Kraft Ave Se Ste 186, Grand Rapids, MI 49512-2076 Ph: (616) 949-9550 |
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