is a Clinical in Grand Haven, Michigan. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1306996483. The last update date is .
's current location address is 321 Fulton St, Grand Haven, Michigan. You can contact this provider via phone number 6168424772 and fax number 6168425575. The mailing address for is 321 Fulton St, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 321 Fulton St, Grand Haven, Michigan |
| Phone Number | 6168424772 |
| Fax Number | 6168425575 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306996483 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 321 Fulton St |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 494171231 |
| Phone Number | 6168424772 |
| Fax Number | 6168425575 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301010653 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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