NPI 1336203280

Michigan Medical Patient Care

Organisation Clinical Neuropsychologist Grand Rapids, MI

Practice location

Address: 3322 E Beltline CT NE, Grand Rapids, MI 49525-9480
Phone: (616) 456-9104
Mailing address: 4085 Burton St SE Suite 200, Grand Rapids, MI 49546-2444

Authorised official

Name: Scott Haring
Title: Cfo
Phone: (616) 974-4889

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X

Other Clinical Neuropsychologist providers in Michigan →

Registry record

NPI: 1336203280
Entity type: Organization
NPI issued: 21 Dec 2006
Record last updated: 2 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.