De Waard, Susan
De Waard, Susan is an sole proprietor health care provider with primary practice located at 201 Sheldon Blvd Se , Grand Rapids MI 49503-4513. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. De Waard, Susan can be contacted via phone (616) 459-4212.Contact Information
Primary practice address
201 Sheldon Blvd Se
Grand Rapids MI 49503-4513
Phone: (616) 459-4212
Fax: (616) 774-9022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6301002554 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301002554 | Michigan |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 6301002554 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301002554 | Michigan |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Michigan |
Profile Details
| NPI number | 1215002811 |
|---|---|
| LBN Legal business name | De Waard, Susan |
| Credentials | M.A., LLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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