| Tatum D. Teeple, Ms, Tllp, Pllc | |
|
534 Fountain St Ne Grand Rapids MI 49503-3422 | |
| (616) 456-1178 | |
| Not Available |
| Full Name | Tatum D. Teeple, Ms, Tllp, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 534 Fountain St Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tatum Daye Teeple (SOLE MEMBER) |
| Authorized Official Contact | 5675250050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tatum D. Teeple, Ms, Tllp, Pllc 4374 Valla Ct Sw Grandville MI 49418-2452 Ph: (567) 525-0059 | Tatum D. Teeple, Ms, Tllp, Pllc 534 Fountain St Ne Grand Rapids MI 49503-3422 Ph: (616) 456-1178 |
| NPI Number | 1801686167 |
|---|---|
| Provider Enumeration Date | 05/09/2025 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801686167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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