Center For Neuropsychology And Behavioral Health
Specialty details in registry · Kentwood, MI
At a glance
3230 Broadmoor Ave Se Ste D, Kentwood, MI 49512-8180
NPPES record updated May 20, 2026. Public records can lag behind changes at a practice.
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Practice location
3230 Broadmoor Ave Se Ste DKentwood, MI 49512-8180
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103G00000X
- Enumeration date
- Aug 25, 2020
- Record updated
- May 20, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
103G00000X · Primary
Specialty details in registry
103TC0700X
Specialty details in registry
104100000X
Clinical Social Worker
1041C0700X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
3230 Broadmoor Ave Se Ste DKentwood, MI 49512-8180
- Phone
- (616) 862-5603
- Fax
- (616) 974-6353
Mailing address
3230 BROADMOOR AVE SE STE DKENTWOOD, MI 495128180
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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