IndividualActive
Beth Blackbird, PSYD
NPI 1689631251 · Rehabilitation Psychologist · Grand Rapids, MI
Provider details
- NPI number
- 1689631251
- Entity type
- Individual
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- 6301010300 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
235 Wealthy St Se
Grand Rapids, MI 49503-5299
Phone: (616) 242-9201
Fax: (616) 451-9513
Approximate (ZIP-level) locationGet directions
Mailing address
235 Wealthy St Se
Grand Rapids, MI 49503-5247
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.