Jerry B Vanleeuwen Phd Pc is a Cognitive & Behavioral - Psychology Clinic in Grand Rapids, Michigan. It is located at 6255 28th St Se Ste M, Grand Rapids, MI and its contact number is 616-458-5294. The authorized person for Jerry B Vanleeuwen Phd Pc is Dr. Jerry B. Van Leeuwen
who is President of the clinic and his/her contact number is 616-458-5294. Jerry B Vanleeuwen Phd Pc Clinic have psychologists who perform variety of professional responsibilities, including assessment (identifying, diagnosing, and conceptualizing problems experienced by individuals or groups), intervention (creating, implementing and evaluating interventions designed to induce positive change) and consultation. Cognitive Behavioral Psychologists also participates in research, education, training, and clinical practice including a range of issues and populations.
Complete Clinic Profile:
Jerry B Vanleeuwen Phd Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jerry B Vanleeuwen Phd Pc
Specialization:
Cognitive & Behavioral Psychology
Clinic Address:
6255 28th St Se Ste M, Grand Rapids, Michigan, 49546-6966
Phone:
616-458-5294
Fax:
616-458-5295
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jerry B. Van Leeuwen
Position:
President
Contact Number:
616-458-5294
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jerry B Vanleeuwen Phd Pc clinic are as mentioned below.
NPI Number:
1497943146
NPI Enumeration Date:
09 Oct, 2007
NPI Last Update On:
04 Dec, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry B Vanleeuwen Phd Pc are as mentioned below.
Specialization
License Number
State
Status
Cognitive & Behavioral
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1336340140
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jerry B Vanleeuwen Phd Pc 6255 28th St Se Ste M, Grand Rapids, Michigan
Zip:
49546-6966
Phone Number:
616-458-5294
Fax Number:
616-458-5295
Patients can reach Jerry B Vanleeuwen Phd Pc at 6255 28th St Se Ste M, Grand Rapids, Michigan or can call to book an appointment on 616-458-5294. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.