Vander Myde, Renee L

Vander Myde, Renee L is an individual health care provider with primary practice located at 1444 Michigan St Ne Ste 8 , Grand Rapids MI 49503-2028. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Vander Myde, Renee L can be contacted via phone (616) 631-7760.

Contact Information

Primary practice address
1444 Michigan St Ne Ste 8 Grand Rapids MI 49503-2028
Phone: (616) 631-7760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 6301011876 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301011876 Michigan
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301011876 Michigan
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 6301011876 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 6301011876 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301011876 Michigan

Profile Details

NPI number 1841487394
LBN Legal business name Vander Myde, Renee L
Credentials MA, LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Nov 6th, 2019 - about 5 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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