| Kuiper Act, Pllc | |
|
4829 E Beltline Ave Ne Bldg 1 Suite 100 Grand Rapids MI 49525-9747 | |
| (616) 581-4668 | |
| (866) 379-2151 |
| Full Name | Kuiper Act, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4829 E Beltline Ave Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Judith K Kuiper (PROVIDER) |
| Authorized Official Contact | 6165814668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuiper Act, Pllc 4829 E Beltline Ave Ne Bldg 1 Suite 100 Grand Rapids MI 49525-9747 Ph: (616) 581-4668 | Kuiper Act, Pllc 4829 E Beltline Ave Ne Bldg 1 Suite 100 Grand Rapids MI 49525-9747 Ph: (616) 581-4668 |
| NPI Number | 1891091195 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 02/03/2011 |
| Medicare PECOS PAC ID | 1850577339 |
|---|---|
| Medicare Enrollment ID | O20110518000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891091195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301012952 (Michigan) | Primary |
| Provider Name | Judith K Kuiper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740240704 PECOS PAC ID: 6800980061 Enrollment ID: I20070919000033 |
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