DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ELIZABETH RAESE PSY.D.

MEDICARE: DR. ELIZABETH RAESE PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist6301014727MI

General Provider Information

NPI Number : 1396939054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH RAESE PSY.D.
Provider Business Mailing Address
First Line : 3300 36TH ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49512-2810
Country : US
Telephone Number : 616-831-5649
Fax Number : 616-942-9548
Provider Business Practice Location Address
First Line : 3300 36TH ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49512-2810
Country : US
Telephone Number : 616-831-5649
Fax Number : 616-942-9548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2007
Last Update Date : 04/18/2014

Similar Medicare Providers

1649218041 — MARION OAKES-HUNTER LLPC, CADC
Practice Location Address:
3300 36TH ST SE
GRAND RAPIDS, MI
49512-2810
Practice Phone: 616-942-2110
Practice Fax:
1215047667 — WEDGWOOD CHRISTIAN SERVICES
Practice Location Address:
3300 36TH ST SE
GRAND RAPIDS, MI
49512-2810
Practice Phone: 616-942-2110
Practice Fax: 616-942-0589
1902997224 — WEDGWOOD CHRISTIAN SERVICES
Practice Location Address:
3300 36TH ST SE
GRAND RAPIDS, MI
49512-2810
Practice Phone: 616-942-2110
Practice Fax: 616-942-0589
1750414827 — WEDGWOOD CHRISTAIN SERVICES
Practice Location Address:
3300 36TH ST SE
GRAND RAPIDS, MI
49512-2810
Practice Phone: 616-559-5835
Practice Fax: 616-281-6448
1386842516 — MRS. JANELL ELAINE PRINS LLMSW
Practice Location Address:
3300 36TH ST SE
GRAND RAPIDS, MI
49512-2810
Practice Phone: 616-559-5878
Practice Fax:
1740462076 — MS. AMY MICHELLE LAMBERT LLMSW
Practice Location Address:
3300 36TH ST SE
GRAND RAPIDS, MI
49512-2810
Practice Phone: 616-942-2110
Practice Fax:

Directions to “ DR. ELIZABETH RAESE PSY.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.