Individual
DR. MARY I. OPPENHUIZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
2025 E BELTLINE AVE SE, STE 102, GRAND RAPIDS, MI 49546-7673
(616) 690-4477
Mailing address
2025 E BELTLINE AVE SE, STE 102, GRAND RAPIDS, MI 49546-7673
(616) 690-4477
(616) 957-1438
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680D146 040
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/08/2007
Last updated
04/11/2019
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