NPI 1083377980

Bryan R Wisdom, LMFT

Practitioner Marriage & Family Therapist Grand Rapids, MI

Practice location

Address: 233 Fulton St E STE 28, Grand Rapids, MI 49503-3262
Phone: (616) 228-9244
Mailing address: 928 N Main St, Elkhart, IN 46514-2736

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 4101007405 (MI)

Other Marriage & Family Therapist providers in Michigan →

Registry record

NPI: 1083377980
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2021
Record last updated: 17 Jul 2025

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.