Organization · Type 2 NPI

139 Education, LLC

Psychologist · Grand Rapids, MI

NPI number 1114290517 Active

Practice location

1971 E Beltline Ave NE, Suite 212
Grand Rapids, MI 49525-7045

Call (800) 600-4096 Map

Mailing address

3790 30th St SW
Grandville, MI 49418-1602

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301009353 (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 1114290517

139 Education, LLC's National Provider Identifier is 1114290517, issued on Feb 15, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 15, 2012.