LARRY R TEITSMA

GRAND RAPIDS, MI
NPI1295707412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301001766)
Enumeration Date2006-02-02
Last Update Date2008-06-26
Business Address
-- LARRY R TEITSMA PHD
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546-7716
Phone number: 616-942-8060
Mailing Address
-- LARRY R TEITSMA PHD
PO BOX 30516
LANSING, MI 48909-8016
Phone number: 616-532-8000
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