Provider Demographics
NPI:1528273968
Name:ROOKS, DANIEL GIRARD (DANIEL ROOKS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:GIRARD
Last Name:ROOKS
Suffix:
Gender:M
Credentials:DANIEL ROOKS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3124 N WELLNESS
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 STE 30
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
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008267103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical