Healthcare Provider Details

I. General information

NPI: 1710890835
Provider Name (Legal Business Name): WESTRA PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12930 JAMES ST
HOLLAND MI
49424-8324
US

IV. Provider business mailing address

12930 JAMES ST
HOLLAND MI
49424-8324
US

V. Phone/Fax

Practice location:
  • Phone: 616-818-8899
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. EMMA WESTRA
Title or Position: PSYCHOLOGIST
Credential: L.P.
Phone: 616-818-8899