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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRAND RAPIDS NEUROPSYCHOLOGY PLLC

Active Organization

GRAND RAPIDS NEUROPSYCHOLOGY PLLC is a Clinical Neuropsychologist organization located in GRAND RAPIDS, Michigan. NPI 1104708809 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · GRAND RAPIDS, MI

Registration Details

NPI Number
1104708809
Provider Type
Organization
NPI Issued
Jul 23, 2025 (1.065889465892 yrs)
Last Updated
Jul 23, 2025

Practice Information

Address
519 COMSTOCK BLVD NE
GRAND RAPIDS, MI, 495053642
Browse MI providers · Browse ZIP 49505
Phone
8153823123
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.