| NPI | 1336340140 |
|---|---|
| Professional Name | JERRY B. VANLEEUWEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301003978) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TF0000X Psychologist, Family (Licence: MI 4101000398) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-01-31 |