Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY BERNARD VANLEEUWEN, PHD
Active Sole ProprietorJERRY BERNARD VANLEEUWEN, PHD is a Psychologist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1336340140 is currently active in the NPPES registry. Verify at CMS.
Psychologist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1336340140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2007 (19.250524987923 yrs)
- Last Updated
- Jan 31, 2024
- Licenses
-
4101000398 (MI)6301003978 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6255 28TH ST SE STE MGRAND RAPIDS, MI, 495466966Browse MI providers · Browse ZIP 49546
- Phone
- 6164585294
- Fax
- 6164585295
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Family Psychologist
- Additional Specialty
- Psychologist
Other Psychologist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. MARY ELIZABETH VANDERGOOT | PHD | 1447220819 |
| DR. GERALD F MCKEEGAN | PHD | 1508810219 |
| CAROL SUNDAY-RASCHE | MA | 1104872480 |
| GARY A BURKHART | PH.D. | 1598712184 |
| JAMES J BOTTENHORN | MA, LLP | 1639126378 |
| RICHARD BAEZ | PSY.D., LLP | 1841237765 |
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.