DR. Randall Lee Herrema, PSY.D.
NPI #1063569150 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1063569150
- Entity Type
- Individual
- Name
- DR. Randall Lee Herrema, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY.D.
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3501 LAKE EASTBROOK BLVD SE
- Address 2
- SUITE 280
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-5938
- Phone
- (616) 942-7331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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