Dr. Jared Lyon Skillings
Psychologist Health Service Family Psychologist Health Psychologist and 4 more
330 Barclay Ave Ne
Grand Rapids
, Michigan 49503-2556
Dr. Jared Lyon Skillings
Psychologist Health Service Family Psychologist Health Psychologist and 4 more
330 Barclay Ave Ne
Grand Rapids
, Michigan 49503-2556
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About
Features
Specialties
- Psychologist
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Family Psychologist
- Health Psychologist
- Health Service
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. Jared Lyon Skillings
- 100 Michigan St Ne Mc845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Dr. Jared Lyon Skillings
- 330 Barclay Ave Ne
- Grand Rapids, MI
- Zip : 49503-2556
- Fax : (616) 391-2840
- Phone : (616) 391-2802
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 6301013341 | MI |
| N | 103T00000X | Psychologist | 6301013341 | MI |
| N | 103TA0700X | Adult Development & Aging Psychologist | 6301013341 | MI |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 6301013341 | MI |
| Y | 103G00000X | Clinical Psychologist | 6301013341 | MI |
| Y | 103TC0700X | Clinical Psychologist | 6301013341 | MI |
| N | 103TF0000X | Family Psychologist | 6301013341 | MI |
| N | 103TH0004X | Health Psychologist | 6301013341 | MI |
| N | 103TH0100X | Health Service | 6301013341 | MI |
| N | 103TP2701X | Group Psychotherapist | 6301013341 | MI |
National Provider Identifier
| NPI | 1356508295 |
|---|---|
| Provider Name | Dr. Jared Lyon Skillings |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49503-2556 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2008 |
| Last Update Date | 01/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1356508295 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.