Jerry B Vanleeuwen Phd Pc
Cognitive & Behavioral - Psychology Clinic
6255 28th St Se Ste M, Grand Rapids
Michigan, 49546-6966
616-458-5294 616-458-5295
Maps & DirectionsJerry 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.