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Individual

DR. TRISHA NICHOLE TANIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
500 CASCADE WEST PKWY SE STE 240, GRAND RAPIDS, MI 49546-2166
(616) 591-9000
Mailing address
500 CASCADE WEST PKWY SE STE 240, GRAND RAPIDS, MI 49546-2166
(616) 591-9000

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301019380
MI
103TC0700X
Clinical Psychologist
6351004500
MI

Other

Enumeration date
11/30/2020
Last updated
02/13/2026
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