Dr. Shana J. Rush, PHDCCC-SLP
Dr. Shana J. Rush, PHDCCC-SLP is a Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2009.
- Licensed in
- MI
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
412 Plymouth Ave NEGrand Rapids, MI 49505-6028
Phone: (616) 780-0590
Fax: (616) 984-4559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neuropsychologist (primary) | Taxonomy 103G00000X · Licence 6301013545 (MI) |
|---|---|
| Psychologist | Taxonomy 103T00000X · Licence 6301013545 (MI) |
Record details
| NPI number | 1306171814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHDCCC-SLP |
| Sole proprietor | No |
| NPI enumerated | October 16, 2009 |
| Last updated in NPPES | May 12, 2023 |
| Certification date | May 16, 2022 |
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