| Stricklen Psychology Llc | |
|
833 Kenmoor Ave Se Ste A Grand Rapids MI 49546-2390 | |
| (616) 551-4690 | |
| (616) 965-3968 |
| Full Name | Stricklen Psychology Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 833 Kenmoor Ave Se Ste A, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jordan Daniel Stricklen (OWNER) |
| Authorized Official Contact | 6164016578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stricklen Psychology Llc 833 Kenmoor Ave Se Ste A Grand Rapids MI 49546-2390 Ph: (616) 401-6578 | Stricklen Psychology Llc 833 Kenmoor Ave Se Ste A Grand Rapids MI 49546-2390 Ph: (616) 551-4690 |
| NPI Number | 1871166595 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Medicare PECOS PAC ID | 1254729395 |
|---|---|
| Medicare Enrollment ID | O20211022001357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871166595 | NPI | - | NPPES |
| Provider Name | Jordan Daniel Stricklen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639615321 PECOS PAC ID: 6709288418 Enrollment ID: I20210716001040 |
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