# SPECTRUM HEALTH HOSPITAL-PSYCHOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073650867
- **Authorized official:** FRANCIS C GLESS (DIRECTOR PATIENT FINANCIAL SERVICES)
- **Authorized official phone:** (616) 643-9354

## Contact information

- **Practice address:** 100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
- **Practice address phone:** (616) 391-2957
- **Mailing address:** 100 MICHIGAN ST NE, MC 109, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | MI | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 07/21/2022