Individual provider · Type 1 NPI

Jaclyn Reckow, PhD

Clinical Neuropsychologist · Grand Rapids, MI

NPI number 1144717604 Active

Practice location

245 Cherry St SE Ste 104
Grand Rapids, MI 49503-4607

Call (616) 685-5050 Map

Fax (616) 685-8962

Mailing address

1900 44th St SE
Kentwood, MI 49508-5008

Specialties and licenses

Taxonomy	Code	License
Clinical Neuropsychologist Primary	103G00000X	6301016942 (MI)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1144717604

Jaclyn Reckow, PhD's National Provider Identifier is 1144717604, issued on Apr 19, 2018. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 19, 2018.