Individual
MR. TREVOR JASKIW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(614) 733-1146
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(614) 733-1146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301019402
MI
Other
Enumeration date
12/22/2016
Last updated
04/10/2024
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