Individual provider · Type 1 NPI

Susan De Waard, M.A., LLP

Clinical Psychologist · Grand Rapids, MI

NPI number 1215002811 Active

Practice location

201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513

Fax (616) 774-9022

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	6301002554 (MI)
Psychologist	103T00000X	6301002554 (MI)
Cognitive & Behavioral Psychologist	103TB0200X	6301002554 (MI)
Clinical Psychologist Primary	103TC0700X	6301002554 (MI)
Social Worker	104100000X	None listed

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 1215002811

Susan De Waard, M.A., LLP's National Provider Identifier is 1215002811, issued on Nov 21, 2006. 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 11, 2025.