Jennifer Bauer, PH.D
Psychologist, Clinical in Wyoming, MI. Individual provider (NPI-1).
NPI number1295044451
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1295044451
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Bauer
- Credential
- PH.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2010
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301016853 | MI | Yes |
| 103T00000X | Psychologist | 6301014607 | MI |
Practice location
2675 44th St Sw Ste 305Wyoming, MI 49519-4191
Phone 616-777-7123
Mailing address
3833 Pine Meadow DrHolland, MI 49424-8594
Phone 616-644-0553
Other practice locations
3790 30th St Se
Grandville, MI 49418-1201
Grandville, MI 49418-1201
Phone 616-204-1180
330 E Beltline Ave Ne Ste 320
Grand Rapids, MI 49506-1267
Grand Rapids, MI 49506-1267
Phone 616-805-3660 · Fax 616-805-3631
4175 Parkway Place Dr Sw Ste 104
Grandville, MI 49418-2382
Grandville, MI 49418-2382
Phone 616-805-3660 · Fax 616-805-3631
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