Theodore J Jansma JR., PHD
NPI #1316924525 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1316924525
- Entity Type
- Individual
- Name
- Theodore J Jansma JR., PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Dec 29, 2005
- Last Updated
- Jun 26, 2008
Practice Location
- Address
- 3330 CLAYSTONE ST SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-7716
- Phone
- (616) 942-8060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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