Robert W Van Noord Pc | |
4133 Embassy Dr Se Grand Rapids MI 49546-2418 | |
(616) 956-6700 | |
(616) 956-6773 |
Full Name | Robert W Van Noord Pc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 4133 Embassy Dr Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Robert William Van Noord (LICENSED PSYCHOLOGIST/PRESIDENT) |
Authorized Official Contact | 6169566700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert W Van Noord Pc 4133 Embassy Dr Se Grand Rapids MI 49546-2418 Ph: (616) 956-6700 | Robert W Van Noord Pc 4133 Embassy Dr Se Grand Rapids MI 49546-2418 Ph: (616) 956-6700 |
NPI Number | 1982908323 |
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Provider Enumeration Date | 12/28/2010 |
Last Update Date | 12/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982908323 | NPI | - | NPPES |
OD14556 | Other | MI | BLUE CROSS BLUE SHIELD PIN |
6301001896 | Other | MI | FPSYCHOLOGIST LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 6301001896 (Michigan) | Primary |
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