Organization
MINDMAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA STOCKER PSYD (OWNER)
(616) 289-3151
Entity
Organization
Contact information
Practice address
2020 RAYBROOK ST SE STE 308, GRAND RAPIDS, MI 49546-7717
(616) 289-3151
(616) 259-4206
Mailing address
2020 RAYBROOK ST SE STE 308, GRAND RAPIDS, MI 49546-7717
(616) 289-3151
(616) 259-4206
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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