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Organization
SOUTHWEST MICHIGAN NEUROPSYCHOLOGY PC
Active
Organization
SOUTHWEST MICHIGAN NEUROPSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FABIANO PHD (PRESIDENT)
(517) 243-7027
Entity
Organization
Contact information
Practice address
238 HOOVER BLVD STE 20, HOLLAND, MI 49423-3755
(517) 887-9801
Mailing address
238 HOOVER BLVD STE 20, HOLLAND, MI 49423-3755
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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