Individual
KAITLYN ZANDBERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
O-1859 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534-9578
(616) 677-5251
Mailing address
7623 RIDGEWOOD DR, JENISON, MI 49428-7979
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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