Individual provider · Type 1 NPI

Melissa Ann Lidderdale, PhD

Clinical Psychologist · Grand Rapids, MI

NPI number 1225158306 Active

Practice location

1345 Monroe Ave NW Ste 252
Grand Rapids, MI 49505-4612

Call (616) 426-9193 Map

Mailing address

57 Courtland St Unit 794
Rockford, MI 49341-5027

Other practice locations

  • 1430 Michigan St NE Ste 7, Grand Rapids, MI 49503-2035 · (616) 426-9193

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900X6301014348 (MI)
Clinical Psychologist Primary 103TC0700X6301014348 (MI)
Psychologist 103T00000X6301014348 (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 1225158306

Melissa Ann Lidderdale, PhD's National Provider Identifier is 1225158306, issued on Mar 30, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 2, 2025.