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Contact Information

GERONTOLOGY NETWORK
800 E BELTLINE AVE NE
GRAND RAPIDS, MI49525-5848
 Phone: 616-456-6135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Adult Day Care

261QA0600X
 

Case Management

251B00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for GERONTOLOGY NETWORK · (Female)

NPI # 1104952332
Status Active
Credentials
Entity Individual
Enumeration date 02/23/2007
Last updated 05/02/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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