MEDICARE: DR. DANIEL GIRARD ROOKS DANIEL ROOKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	6301008267	MI

General Provider Information

NPI Number	:	1528273968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL GIRARD ROOKS DANIEL ROOKS

Provider Business Mailing Address
First Line	:	3124 N WELLNESS
Second Line	:	SUITE 30
City	:	HOLLAND
State	:	MI
Zip	:	49424-8121
Country	:	US
Telephone Number	:	616-786-3350
Fax Number	:	616-786-3375

Provider Business Practice Location Address
First Line	:	3124 N WELLNESS DR STE 30
Second Line	:	SUITE 30
City	:	HOLLAND
State	:	MI
Zip	:	49424-8121
Country	:	US
Telephone Number	:	616-786-3350
Fax Number	:	616-786-3375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	02/02/2026

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