Individual
BENJAMIN PAUL BIZAR-STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1545 68TH ST SE STE 200, GRAND RAPIDS, MI 49508-7896
(616) 447-5820
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
31127
CA
103TC0700X
Clinical Psychologist
Primary
6301019141
MI
Other
Enumeration date
05/20/2014
Last updated
01/09/2023
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