DAVID CRAIG BOERSMA PHD NPI 1942535323

NPI Information

NPI: 1942535323
Provider Name: DAVID CRAIG BOERSMA, PHD
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

Address:
703 BALL AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 774-0207
Get Directions

David Craig Boersma, PHD is a forensic psychologist in Grand Rapids, MI. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. David Craig Boersma, PHD NPI is 1942535323. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

703 BALL AVE NE
GRAND RAPIDS, MI
ZIP 49503-307
Phone: (616) 774-0207
Fax: (616) 632-6361

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TF0200X	Psychologist	Forensic	6301006074	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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