Vandervennet, Madison

Vandervennet, Madison is an individual health care provider with primary practice located at 4998 Tiohero Blvd , Clarkston MI 48348-3382. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Vandervennet, Madison can be contacted via phone (248) 807-3102.

Contact Information

Primary practice address
4998 Tiohero Blvd Clarkston MI 48348-3382
Phone: (248) 807-3102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1669826582
LBN Legal business name Vandervennet, Madison
Credentials M.S., QBHP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2016
Last updated Aug 19th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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