IndividualActive
Allison Ilem, PHD
NPI 1730416462 · Clinical Psychologist · Grand Rapids, MI
Provider details
- NPI number
- 1730416462
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 6301016286 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4467 Cascade Rd Se Ste 4469
Grand Rapids, MI 49546-3776
Phone: (616) 209-8862
Approximate (ZIP-level) locationGet directions
Mailing address
4467 Cascade Rd Se Ste 4469
Grand Rapids, MI 49546-3776
Registry dates
- Enumerated
- 2009-11-18
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.