Vanleeuwen, Jerry Bernard

Vanleeuwen, Jerry Bernard is an sole proprietor health care provider with primary practice located at 6255 28Th St Se Ste M , Grand Rapids MI 49546-6966. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Vanleeuwen, Jerry Bernard can be contacted via phone (616) 458-5294.

Contact Information

Primary practice address
6255 28Th St Se Ste M Grand Rapids MI 49546-6966
Phone: (616) 458-5294
Fax: (616) 458-5295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Family 103TF0000X 4101000398 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301003978 Michigan

Profile Details

NPI number 1336340140
LBN Legal business name Vanleeuwen, Jerry Bernard
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Jan 31st, 2024 - about last year

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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