Provider Demographics
NPI:1366679359
Name:MUENCH, SARAH JEAN (PSYD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:MUENCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JEAN
Other - Last Name:MUENCH-MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, DLLP
Mailing Address - Street 1:300 68TH ST SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49548-6927
Mailing Address - Country:US
Mailing Address - Phone:616-455-5000
Mailing Address - Fax:
Practice Address - Street 1:156 W WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-1102
Practice Address - Country:US
Practice Address - Phone:833-342-4552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301014159103T00000X
MI6301015009103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist