Grey R Larison, PHD is a
Clinical Neuropsychologist based in Caledonia, Michigan. Grey R Larison is licensed to practice in Michigan (license number 6301001732) and his current practice location is
9090 S Rodgers Ct Se, Caledonia, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 891-8770.
NPI number for Grey R Larison is 1841226297 and his current mailing address is 300 68th St Se, Grand Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841226297.
Healthcare Provider's Profile
Full Name | Grey R Larison |
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Gender | Male |
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Speciality | Clinical Neuropsychologist |
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Location | 9090 S Rodgers Ct Se, Caledonia, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841226297
- Provider Enumeration Date: 06/25/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Grey R Larison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841226297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301001732 (Michigan) | Primary |
103G00000X | Clinical Neuropsychologist | 6301001732 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grey R Larison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Grey R Larison, PHD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Grey R Larison, PHD 9090 S Rodgers Ct Se, Caledonia, MI 49316-8052 Ph: (616) 891-8770 |
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