Organization
J PATRICK DUIVEN PSYD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J PATRICK DUIVEN PSYD (PRESIDENT/OWNER)
(616) 956-6700
Entity
Organization
Contact information
Practice address
4133 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 956-6700
(616) 956-6773
Mailing address
4133 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 956-6700
(616) 956-6773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002423
MI
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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