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

JACLYN RECKOW, PHD

Active

JACLYN RECKOW, PHD is a Clinical Neuropsychologist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1144717604 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · GRAND RAPIDS, MI

Registration Details

NPI Number
1144717604
Provider Type
Individual
Gender
Female
NPI Issued
Apr 19, 2018 (8.3630730792828 yrs)
Last Updated
Apr 19, 2018
License
6301016942 (MI)

Practice Information

Address
245 CHERRY ST SE STE 104
GRAND RAPIDS, MI, 495034607
Browse MI providers · Browse ZIP 49503
Phone
6166855050
Fax
6166858962
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in GRAND RAPIDS, MI

Name Credential NPI
MARK E DEVRIES PH.D. 1265476220
THOMAS SCOTT HALSTEAD PH.D. 1992733653
DR. DAVID L NYENHUIS PHD 1902836372
DR. DON ALLEN BOYD ED.D. 1477663599
MICHAEL LAWRENCE PHD 1326130857
DR. MICHAEL PAUL WOLFF PSYD 1528147360
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.