Jerry Bernard Vanleeuwen in Grand Rapids - Psychologist

Jerry Bernard Vanleeuwen - NPI 1336340140

Jerry Bernard Vanleeuwen is a Psychologist in Grand Rapids, Michigan. Jerry Bernard Vanleeuwen practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jerry Bernard Vanleeuwen is 1336340140. The last update date is 2007-07-08.

Jerry Bernard Vanleeuwen's current location address is 20 Monroe Center Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164585294 and fax number 6164586070. The mailing address for Jerry Bernard Vanleeuwen is 20 Monroe Center Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Bernard Vanleeuwen
Address 20 Monroe Center Ne, Grand Rapids, Michigan
Phone Number 6164585294
Fax Number 6164586070
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1336340140
Provider Enumeration Date 2007-05-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 20 Monroe Center Ne
City Grand Rapids
State Michigan (MI)
Post Code 49503
Phone Number 6164585294
Fax Number 6164586070

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 6301003978
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Jerry Bernard Vanleeuwen

What is the unique 10-digit identifier code issued to Jerry Bernard Vanleeuwen by the Centers for Medicare & Medicaid Services?

The Jerry Bernard Vanleeuwen has been assigned the NPI (National Provider Identifier) 1336340140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jerry Bernard Vanleeuwen is physically located?

The Jerry Bernard Vanleeuwen is physically situated at the following address: 20 Monroe Center Ne, Grand Rapids, MI, 49503.

What is Jerry Bernard Vanleeuwen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jerry Bernard Vanleeuwen is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date was the 1336340140 assigned to Jerry Bernard Vanleeuwen?

The Jerry Bernard Vanleeuwen was issued its 1336340140 on 2007-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jerry Bernard Vanleeuwen most recently updated?

The details pertaining to the Jerry Bernard Vanleeuwen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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