Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIM CHARLES VANTREESE, PH.D
Active Sole ProprietorMR. JIM CHARLES VANTREESE, PH.D is a Child, Clinical Psychologist healthcare provider located in FREMONT, Michigan. NPI 1871646307 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · FREMONT, MI
Registration Details
- NPI Number
- 1871646307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2007 (19.610866148879 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6301002725 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4845 SNYDER AVEFREMONT, MI, 494129502Browse MI providers · Browse ZIP 49412
- Phone
- 2319246920
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.