Individual provider · Type 1 NPI
Gregory V. Mallis, PSY.D
Psychologist · Grand Rapids, MI
Practice location
1870 Leonard St SE
Grand Rapids, MI 49505-5650
Fax (616) 956-8033
Mailing address
1870 Leonard Street SE
Grand Rapids, MI 49505-5650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 6301015440 (MI) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1780022194
Gregory V. Mallis, PSY.D's National Provider Identifier is 1780022194, issued on Jun 7, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 7, 2013.