Organization
PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A DE WITT PSY.D. (OWNER)
(616) 957-9112
Entity
Organization
Contact information
Practice address
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3663
(616) 957-9112
(616) 957-2409
Mailing address
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3663
(616) 957-9112
(616) 957-2409
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/27/2007
Last updated
03/09/2016
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