Search › Michigan › 101YA0400X
Clyde Richardson, M DIV CAC-R
NPI 1275709826 · on the registry since 2008
Practice
- Address
- 3210 Eagle Run Dr
Suite 200
Grand Rapids, MI 49525 - Phone
- (616) 957-1200
- Fax
- (616) 957-1297
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
101YP1600X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan