De Waard, Susan

De Waard, Susan is an sole proprietor health care provider with primary practice located at 201 Sheldon Blvd Se , Grand Rapids MI 49503-4513. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. De Waard, Susan can be contacted via phone (616) 459-4212.

Contact Information

Primary practice address
201 Sheldon Blvd Se Grand Rapids MI 49503-4513
Phone: (616) 459-4212
Fax: (616) 774-9022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6301002554 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301002554 Michigan
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 6301002554 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301002554 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X Michigan

Profile Details

NPI number 1215002811
LBN Legal business name De Waard, Susan
Credentials M.A., LLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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