Individual
DR. JAMES BERNARD DE BOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4131 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 975-0700
(616) 975-7702
Mailing address
4131 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 975-0700
(616) 975-7702
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301006527
MI
103TC0700X
Clinical Psychologist
Primary
6301006527
MI
Other
Enumeration date
03/27/2007
Last updated
09/11/2025
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