Individual
DR. TIMOTHY GRUPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
655 KENMOOR AVE SE STE 303, GRAND RAPIDS, MI 49546-8622
(616) 259-5365
Mailing address
655 KENMOOR AVE SE STE 303, GRAND RAPIDS, MI 49546-8622
(616) 259-5365
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015411
MI
Other
Enumeration date
01/21/2013
Last updated
08/29/2023
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