Skillings, Jared Lyon
Skillings, Jared Lyon is an individual health care provider with primary practice located at 330 Barclay Ave Ne , Grand Rapids MI 49503-2556. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Skillings, Jared Lyon can be contacted via phone (616) 391-2802.Contact Information
Primary practice address
330 Barclay Ave Ne
Grand Rapids MI 49503-2556
Phone: (616) 391-2802
Fax: (616) 391-2840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 6301013341 | Michigan |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 6301013341 | Michigan |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 6301013341 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301013341 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301013341 | Michigan |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 6301013341 | Michigan |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | 6301013341 | Michigan |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 6301013341 | Michigan |
Profile Details
| NPI number | 1356508295 |
|---|---|
| LBN Legal business name | Skillings, Jared Lyon |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | Nov 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356508295 | NPPES |
| Michigan | MEDICAID | 1356508295 |
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