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Individual

DR. ANDREA LEE ROTZIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
4701 PLAINFIELD AVE. NE, SUITE C, GRAND RAPIDS, MI 49525
(616) 361-3398
(616) 361-3395
Mailing address
4701 PLAINFIELD AVE. NE, SUITE C, GRAND RAPIDS, MI 49525
(616) 361-3398
(616) 361-3395

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301012014
MI
103TC0700X
Clinical Psychologist
Primary
6301012014
MI
103TC1900X
Counseling Psychologist
6301012014
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301012014
MI
103TH0004X
Health Psychologist
6301012014
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301012014
MI

Other

Enumeration date
04/01/2008
Last updated
06/06/2012
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