Search › Michigan › 103T00000X
Gregory Mallis, PSY.D
NPI 1780022194 · on the registry since 2013
Practice
- Address
- 1870 Leonard St Se
Grand Rapids, MI 49505 - Phone
- (616) 956-1122
- Fax
- (616) 956-8033
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan