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Individual

DR. JENNA SUZANN WIERENGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
4301 CANAL AVE SW STE E, GRANDVILLE, MI 49418-2667
(616) 403-2407
Mailing address
4421 PENNY LN SW, WYOMING, MI 49418-9383
(616) 403-2407

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015873
MI

Other

Enumeration date
07/20/2009
Last updated
05/30/2026
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