Individual
GREY R LARISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9090 S RODGERS CT SE, CALEDONIA, MI 49316-8052
(616) 891-8770
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
6301001732
MI
103T00000X
Psychologist
6301001732
MI
Other
Enumeration date
06/25/2006
Last updated
09/11/2025
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