Jerry B Vanleeuwen Phd Pc in Grand Rapids - Cognitive & Behavioral
Jerry B Vanleeuwen Phd Pc - NPI 1497943146
Jerry B Vanleeuwen Phd Pc is a Cognitive & Behavioral in Grand Rapids, Michigan. Jerry B Vanleeuwen Phd Pc practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Jerry B Vanleeuwen Phd Pc is 1497943146. The last update date is 2023-12-04.
Jerry B Vanleeuwen Phd Pc's current location address is 6255 28th St Se Ste M, Grand Rapids, Michigan. You can contact this provider via phone number 6164585294 and fax number 6164585295. The mailing address for Jerry B Vanleeuwen Phd Pc is 6255 28th St Se Ste M, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerry B Vanleeuwen Phd Pc |
|---|---|
| Address | 6255 28th St Se Ste M, Grand Rapids, Michigan |
| Phone Number | 6164585294 |
| Fax Number | 6164585295 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Van Leeuwen B. Jerry |
| Credentials | PHD |
| Telephone Number | 6164585294 |
NPI Number Detail
| NPI Number | 1497943146 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2023-12-04 |
Provider Mailing Address Detail
| Address | 6255 28th St Se Ste M |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495466966 |
| Phone Number | 6164585294 |
| Fax Number | 6164585295 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
|
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336340140 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry B Vanleeuwen Phd Pc by the Centers for Medicare & Medicaid Services?
The Jerry B Vanleeuwen Phd Pc has been assigned the NPI (National Provider Identifier) 1497943146. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerry B Vanleeuwen Phd Pc?
The Jerry B Vanleeuwen Phd Pc is situated at 6255 28Th St Se Ste M, in the city of Grand Rapids, state of MI, with the zip code 495466966.
What is the Jerry B Vanleeuwen Phd Pc's area of specialization and corresponding taxonomy classification?
The Jerry B Vanleeuwen Phd Pc's specialty field is Cognitive & Behavioral, and it falls under the taxonomy code 103Tb0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1497943146 to Jerry B Vanleeuwen Phd Pc?
The Centers for Medicare & Medicaid Services assigned the 1497943146 to Jerry B Vanleeuwen Phd Pc on 2007-10-09.
As of what date were the Jerry B Vanleeuwen Phd Pc's details last updated?
The information pertaining to the Jerry B Vanleeuwen Phd Pc, including its address, specialty, and other details, was most recently updated on 2023-12-04.