Individual provider · Type 1 NPI

Vanessa Pruitt, DLLP

Psychologist · Grand Rapids, MI

NPI number 1073302931 Active

Practice location

3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Call (616) 365-8920 Map

Fax (616) 281-8971

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6352001094 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1073302931

Vanessa Pruitt, DLLP's National Provider Identifier is 1073302931, issued on May 6, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 8, 2026.