| Grand Rapids Psychology, Pllc | |
|
4403 Cascade Rd Se Ste 8 Grand Rapids MI 49546-3673 | |
| (616) 915-8153 | |
| Not Available |
| Full Name | Grand Rapids Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4403 Cascade Rd Se Ste 8, Grand Rapids, Michigan |
| Authorized Official Name and Position | Stacey Morgan (PSYCHOLOGIST) |
| Authorized Official Contact | 6169158153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Rapids Psychology, Pllc 1186 Oakburn Ave Se Grand Rapids MI 49546-3767 Ph: (616) 915-8153 | Grand Rapids Psychology, Pllc 4403 Cascade Rd Se Ste 8 Grand Rapids MI 49546-3673 Ph: (616) 915-8153 |
| NPI Number | 1336712561 |
|---|---|
| Provider Enumeration Date | 07/24/2021 |
| Last Update Date | 07/24/2021 |
| Certification Date | 07/23/2021 |
| Medicare PECOS PAC ID | 7810391893 |
|---|---|
| Medicare Enrollment ID | O20210812003419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336712561 | NPI | - | NPPES |
| 1275937583 | Other | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laurie A Arnswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528172822 PECOS PAC ID: 4688662042 Enrollment ID: I20040504000939 |
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