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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

RICHARD A TACKETT, ED.D.
273 MARSHALL ST
COLDWATER, MI49036-1142
 Phone: 517-278-0445
 Fax: 517-278-0455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health Psychologist

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RICHARD A TACKETT · (Male)

NPI Number 1295070027
Credentials ED.D.
Entity Individual
Enumeration date 12/05/2012
Last updated 12/05/2012 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
MI License # 6301007813
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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