Individual
DR. MICHAEL PAUL WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
Mailing address
300 68TH ST SE APT 2B, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301012443
MI
103TC0700X
Clinical Psychologist
6301012443
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301012443
MI
103TF0000X
Family Psychologist
6301012443
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301012443
MI
103TR0400X
Rehabilitation Psychologist
6301012443
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528147360
CLINICAL NEUROPSYCHOLOGIS
MI
Enumeration date
11/03/2006
Last updated
09/23/2025
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