Individual provider · Type 1 NPI

Kimberlee Jean Prose, PSY.D.

Psychologist · Grand Rapids, MI

NPI number 1861428161 Active

Practice location

933 3 Mile Rd NW
Grand Rapids, MI 49544-1673

Call (616) 222-3720 Map

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301010702 (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 1861428161

Kimberlee Jean Prose, PSY.D.'s National Provider Identifier is 1861428161, issued on Jun 25, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 13, 2026.