Individual
NICOLE CAUGHERTY HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
6301019400
MI
Other
Enumeration date
04/08/2019
Last updated
09/22/2025
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