Individual
JERRY BERNARD VANLEEUWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6255 28TH ST SE STE M, GRAND RAPIDS, MI 49546-6966
(616) 458-5294
(616) 458-5295
Mailing address
6255 28TH ST SE STE M, GRAND RAPIDS, MI 49546-6966
(616) 458-5294
(616) 458-5295
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301003978
MI
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
4101000398
MI
Other
Enumeration date
05/30/2007
Last updated
01/31/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us