Individual
DR. MICAH JOHN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1000 MONROE AVE NW, GRAND RAPIDS, MI 49503-1455
(616) 259-7207
(616) 259-7261
Mailing address
320 LAWNDALE AVE NE, GRAND RAPIDS, MI 49503-3738
(616) 822-9713
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301018963
MI
103T00000X
Psychologist
6351004265
MI
Other
Enumeration date
09/12/2020
Last updated
11/18/2025
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