Provider Demographics
NPI:1023213279
Name:DANIEL G. ROOKS, PSY.D., P.C.
Entity Type:Organization
Organization Name:DANIEL G. ROOKS, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-786-3350
Mailing Address - Street 1:3124 N WELLNESS DR
Mailing Address - Street 2:SUITE 30
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-8121
Mailing Address - Country:US
Mailing Address - Phone:616-786-3350
Mailing Address - Fax:616-786-3375
Practice Address - Street 1:3124 N WELLNESS DR
Practice Address - Street 2:SUITE 30
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-8121
Practice Address - Country:US
Practice Address - Phone:616-786-3350
Practice Address - Fax:616-786-3375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008267103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty