TIMOTHY BRUCE DUTHLER (NPI# 1558460154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558460154 |
| Entity Type | Individual |
| Full Name | TIMOTHY BRUCE DUTHLER |
| Credential | PH.D. |
| Practice Address |
468 Kinney Ave Nw Grand Rapids MI 49534-4509 |
| Practice Telephone | 6167355491 |
| Practice Fax Number | 6167354497 |
| Mailing Telephone | 6167355491 |
| Mailing Fax Number | 6167354497 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301003259 | MI | Behavioral Health & Social Service Providers |
| Street Address |
468 KINNEY AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49534-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356440994 | Steven Craig Griffioen | Psychologist | 468 Kinney Ave Nw, Grand Rapids, MI 49534-4509 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336792324 | Heather Duthler | Social Worker | 648 Kinney Ave Nw, Grand Rapids, MI 49534 | 2019-07-19 |
| 1114473550 | Tari Kruzel | Registered Nurse | 12955 3rd Ave Nw, Grand Rapids, MI 49534 | 2016-08-26 |
| 1972847184 | Indian Trails Camp, Inc. | Day Training, Developmentally Disabled Services | O-1859 Lake Michigan Dr. Nw, Grand Rapids, MI 49534 | 2012-11-15 |
| 1871743815 | Michael Robert Anderson Jr. | Chiropractor | 0-705 Tallmadge Woods Dr. Nw, Suite A, Grand Rapids, MI 49534 | 2008-09-26 |
| 1750459285 | Rick David Saier | Internal Medicine | 1175 Wilson Ave, Walker, MI 49534 | 2006-12-01 |
| 1154414886 | Edward D Young Dds PC | Dentist | 4310 Leonard Nw, Grand Rapids, MI 49534 | 2006-10-02 |
| 1558461756 | Sandra Staublin | Pediatrics | 4288 3 Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1700986999 | Belinda Chou | Pediatrics | 4288 Three Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1639196603 | David Robert Felton | Chiropractor | 4110 Lake Michigan Dr Nw, Grand Rapids, MI 49534 | 2006-07-16 |
| 1952349235 | Chiropractic Plus, P.C. | Chiropractor | 0 699 Tallmadge Wds Nw, Suite B, Grand Rapids, MI 49534 | 2006-06-02 |
| Find all providers in zip 49534 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427553007 | Rachel E Keelan | Psychologist | 350 Lafayette Ave Se Fl 5, Grand Rapids, MI 49503-4656 | 2018-03-27 |
| 1235504655 | Olivia Torres Sprauer | Psychologist | 833 Kenmoor Ave Se Ste A, Grand Rapids, MI 49546-2390 | 2015-12-10 |
| 1366835589 | Dr Marcia Hollingsworth, Ed.d, Pllc | Psychologist | 2025 E Beltline Ave Se Ste 102, Grand Rapids, MI 49546-7673 | 2015-03-12 |
| 1881945855 | John Shepherd Carton | Psychologist | 265 Wealthy St Se, Grand Rapids, MI 49503 | 2012-10-01 |
| 1386995900 | Jane L. Spies-wert, Ph.d., P.C. | Psychologist | 15 Ionia Ave Sw, Suite 645, Grand Rapids, MI 49503-4102 | 2012-09-21 |
| 1144577396 | Amy Kristine Byerley | Psychologist | 668 3 Mile Rd Nw Ste D, Grand Rapids, MI 49544-8219 | 2012-08-07 |
| 1326271750 | Jonathan Jay Eggerichs | Psychologist | 770 Kenmoor Ave Se Ste 101, Grand Rapids, MI 49546-8621 | 2009-09-02 |
| 1669604658 | Lyndsay Kate Volpe-bertram | Psychologist | 1179 East Paris Ave Se, Grand Rapids, MI 49546-8371 | 2009-08-10 |
| 1568609659 | Dr. Steven A. Harris, P.C. | Psychologist | 2618 East Paris, S.e. Suite B, Grand Rapids, MI 49546 | 2009-01-12 |
| 1255586228 | Dominic Amante | Psychologist | 29 Pearl N.w., 114 Federal Square Bldg., Grand Rapids, MI 49503 | 2008-11-18 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49534 |
Please comment or provide details below to improve the information on TIMOTHY BRUCE DUTHLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.