Individual
MS. MADELINE REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
412 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 780-0590
Mailing address
412 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 780-0590
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6362010293
MI
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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