Individual
TREVOR CHUANGKUO WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
220 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-5050
(616) 685-8962
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
6301015974
MI
103TC0700X
Clinical Psychologist
Primary
6301015974
MI
Other
Enumeration date
05/23/2014
Last updated
02/04/2026
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