Individual provider · Type 1 NPI

Ellen Mary Manegold Stoltman, PhD

Clinical Psychologist · Grand Rapids, MI

NPI number 1194376053 Active

Practice location

25 Michigan St NE Ste 2200
Grand Rapids, MI 49503-2515

Call (616) 267-2850 Map

Fax (616) 267-9024

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301018734 (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 1194376053

Ellen Mary Manegold Stoltman, PhD's National Provider Identifier is 1194376053, issued on Sep 23, 2019. 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 9, 2026.