| Jenna Van Grouw, MA CCC-SLP | |
|
5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | |
| (616) 252-7110 | |
| Not Available |
| Full Name | Jenna Van Grouw |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 5900 Byron Center Ave Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447735121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | PSLP.0000319 (Colorado) | Secondary |
| 235Z00000X | Speech-language Pathologist | 7101007786 (Michigan) | Primary |
| Provider Name | Mary Free Bed Rehabilitation Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730133463 PECOS PAC ID: 4587576541 Enrollment ID: O20040116000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Van Grouw, MA CCC-SLP 235 Wealthy St Se, Grand Rapids, MI 49503-5247 Ph: (616) 840-8000 | Jenna Van Grouw, MA CCC-SLP 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-7110 |
Rachel Villafuerte, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 134 Freedom St Se, Wyoming, MI 49548 Phone: 616-466-0625 | |
Mrs. Holly Vanderveen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7482 | |
Jenna Snyder, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
Brooke Mcnamara, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5452 E Palm Dale Ct Sw, Wyoming, MI 49519 Phone: 616-889-9139 | |
Mrs. Courtney Hart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7482 | |
Sarah Joy Nicole Hofbauer, MA, CCC- SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5722 Metro Way Sw Ste B, Wyoming, MI 49519 Phone: 616-840-7529 Fax: 616-840-9693 | |
Mallika Pearl David, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 |