Individual provider · Type 1 NPI

Dan Gautz

Intellectual & Developmental Disabilities Psychologist · Grand Rapids, MI

NPI number 1396140919 Active

Practice location

O-1859 Lake Michigan Dr NW
Grand Rapids, MI 49534-9578

Call (616) 677-5251 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual & Developmental Disabilities Psychologist Primary 103TM1800XNone listed

Intellectual & Developmental Disabilities Psychologist: Definition to come...

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About NPI 1396140919

Dan Gautz's National Provider Identifier is 1396140919, issued on Oct 24, 2014. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 24, 2014.