Individual provider · Type 1 NPI

Theodore J. Jansma Jr., PhD

Clinical Psychologist · Grand Rapids, MI

NPI number 1316924525 Active

Practice location

3330 Claystone St SE
Grand Rapids, MI 49546-7716

Call (616) 942-8060 Map

Fax (616) 942-6690

Mailing address

PO Box 30516, Dept 6065
Lansing, MI 48909-8016

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301001233 (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 1316924525

Theodore J. Jansma Jr., PhD's National Provider Identifier is 1316924525, issued on Dec 29, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 26, 2008.