| Mr Jim Charles Vantreese, PHD | |
|
4845 Snyder Ave, Fremont, MI 49412-9502 | |
| (231) 924-6920 | |
| Not Available |
| Full Name | Mr Jim Charles Vantreese |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 4845 Snyder Ave, Fremont, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871646307 | NPI | - | NPPES |
| 620F24513 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 6301002725 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jim Charles Vantreese, PHD 4845 Snyder Ave, Fremont, MI 49412-9502 Ph: (231) 924-6920 | Mr Jim Charles Vantreese, PHD 4845 Snyder Ave, Fremont, MI 49412-9502 Ph: (231) 924-6920 |
Mr. Kevin L Hackworth, MA, LPC, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 37 E Main St Ste G, Fremont, MI 49412 Phone: 231-233-1097 | |
Shanoa Dione Praay, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4845 Snyder Ave, Fremont, MI 49412 Phone: 231-924-6920 | |
Kathleen Curtis Korstange, M.A, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 905 S Stewart Ave, Fremont, MI 49412 Phone: 231-924-5309 |