Organization
WESTSIDE NEUROPSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VELISA JOHNSON PHD, ABPP-CN (CLINICAL NEUROPSYCHOLOGIST/OWNER)
(616) 287-4164
Entity
Organization
Contact information
Practice address
5030 CORPORATE EXCHANGE BLVD SE STE 201, GRAND RAPIDS, MI 49512-5506
(616) 287-4164
Mailing address
5030 CORPORATE EXCHANGE BLVD SE STE 201, GRAND RAPIDS, MI 49512-5506
(616) 287-4164
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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