Provider Demographics
NPI:1689974776
Name:HOEKSEMA PSYCHOLOGICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:HOEKSEMA PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:HOEKSEMA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:616-355-0473
Mailing Address - Street 1:720 E 8TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-3079
Mailing Address - Country:US
Mailing Address - Phone:616-355-0473
Mailing Address - Fax:616-355-0480
Practice Address - Street 1:720 E 8TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3079
Practice Address - Country:US
Practice Address - Phone:616-355-0473
Practice Address - Fax:616-355-0480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJH00620103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty