Individual provider · Type 1 NPI

John Robert Otterbacher, PH.D-CLINICAL PSYCH

Clinical Psychologist · Grand Rapids, MI

NPI number 1184872855 Active

Practice location

146 Monroe Center, Suite 730
Grand Rapids, MI 49503

Fax (616) 454-2855

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301000990 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1184872855

John Robert Otterbacher, PH.D-CLINICAL PSYCH's National Provider Identifier is 1184872855, issued on Sep 5, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 16, 2008.