Individual
SUZANN MAREE OGLAND-HAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2020 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7717
(616) 443-2934
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 443-2934
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
630101005
MI
103TC0700X
Clinical Psychologist
Primary
630101005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680D161890
BC/BS
MI
01
—
D16189043
MEDICARE
MI
Enumeration date
06/18/2006
Last updated
04/13/2024
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