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Contact Information

CRAIG R VANDER MAAS, PSYD
4100 LAKE DR SE
SUITE 305
GRAND RAPIDS, MI47546
 Phone: 616-285-1377
 Fax: 616-285-1006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CRAIG R VANDER MAAS · (Male)

NPI # 1497774509
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 07/19/2006
Last updated 11/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301011634
  • MI License # 6401003522
  • Other 044021 VALUE OPTIONS
  • MI Other 680D146850 BLUE CROSS BLUE SHIELD
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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