Individual
DR. ROGER JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2155 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546-6190
(616) 581-2755
Mailing address
2155 EAST PARIS AVE SE STE 220, GRAND RAPIDS, MI 49546-6195
(616) 581-2755
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
6362100084
MI
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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