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Contact Information

ROGER JANSEN, PHD
2155 EAST PARIS AVE SE
GRAND RAPIDS, MI49546-6190
 Phone: 616-581-2755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROGER JANSEN · (Male)

NPI Number 1942000468
Status Active
Credentials PHD
Entity Individual
Enumeration date 03/14/2025
Last updated 03/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 6362100084
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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