| Katherine Devries Therapy, Pllc | |
|
5242 Plainfield Ave Ne Ste E Grand Rapids MI 49525-1084 | |
| (616) 710-1033 | |
| Not Available |
| Full Name | Katherine Devries Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5242 Plainfield Ave Ne Ste E, Grand Rapids, Michigan |
| Authorized Official Name and Position | Katherine Ann Devries (OWNER) |
| Authorized Official Contact | 6167101033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Devries Therapy, Pllc 7880 5 Mile Rd Ne Ada MI 49301-7749 Ph: (616) 881-1222 | Katherine Devries Therapy, Pllc 5242 Plainfield Ave Ne Ste E Grand Rapids MI 49525-1084 Ph: (616) 710-1033 |
| NPI Number | 1518635929 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Medicare PECOS PAC ID | 1850799818 |
|---|---|
| Medicare Enrollment ID | O20211006001813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518635929 | NPI | - | NPPES |
| Provider Name | Katherine A Devries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841364924 PECOS PAC ID: 1658465596 Enrollment ID: I20070921000746 |
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