Jeffrey Alan Bootzin, EDS, LLP
Psychologist, Counseling in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1295986933
StatusActive
Last updated in NPPESSep 30, 2008
Details
- NPI
- 1295986933
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey Alan Bootzin
- Credential
- EDS, LLP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2008
- Last updated
- Sep 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 6301002673 | MI | Yes |
Practice location
330 Eastern Ave SeGrand Rapids, MI 49503-4737
Phone 616-776-0891 · Fax 616-233-0672
Mailing address
330 Eastern Ave SeGrand Rapids, MI 49503
Phone 616-776-0891 · Fax 616-233-0672
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