Individual provider · Type 1 NPI

Heather Hines

Intellectual & Developmental Disabilities Psychologist · Grand Rapids, MI

NPI number 1780089391 Active

Practice location

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

Call (616) 677-5251 Map

Mailing address

1612 Gorham Dr SE
Grand Rapids, MI 49506-4517

Specialties and licenses

TaxonomyCodeLicense
Intellectual & Developmental Disabilities Psychologist Primary 103TM1800XNone listed

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

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About NPI 1780089391

Heather Hines's National Provider Identifier is 1780089391, 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.