Individual
DR. DAVID ROBERT MACRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2025 E BELTLINE AVE SE, SUITE #104, GRAND RAPIDS, MI 49546-7630
(616) 957-3168
(616) 957-4133
Mailing address
2025 E BELTLINE AVE SE, SUITE #104, GRAND RAPIDS, MI 49546-7630
(616) 957-3168
(616) 957-4133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002310
MI
103TB0200X
Cognitive & Behavioral Psychologist
002310
MI
103TC0700X
Clinical Psychologist
002310
MI
103TC2200X
Clinical Child & Adolescent Psychologist
002310
MI
103TF0000X
Family Psychologist
002310
MI
106H00000X
Marriage & Family Therapist
Primary
002310
MI
Other
Enumeration date
04/18/2007
Last updated
09/11/2025
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