Organization · Type 2 NPI

Michael Makedonsky PHD

Clinical Psychologist · Grand Rapids, MI

NPI number 1811160476 Active

Practice location

3501 Lake Eastbrook Blvd SE Ste 222
Grand Rapids, MI 49546-5940

Mailing address

PO Box 120125
Grand Rapids, MI 49528-0103

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

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 1811160476

Michael Makedonsky PHD's National Provider Identifier is 1811160476, issued on Apr 3, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 3, 2008.