Individual
BRITTANY ANNE BENDIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 222-3720
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 222-3720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301015912
MI
103T00000X
Psychologist
Primary
6361007640
MI
Other
Enumeration date
10/22/2012
Last updated
09/14/2021
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