# EDMEE PSYCHOLOGICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710222971
- **Authorized official:** STACEY MARQUEE MA LLP (PSYCHOLOGIST/ADMINISTRATOR)
- **Authorized official phone:** (616) 443-8968

## Contact information

- **Practice address:** 2323 E PARIS AVE SE, SUITE 101, GRAND RAPIDS, MI 49546-2414
- **Practice address phone:** (616) 242-0099
- **Practice address fax:** (616) 242-0099
- **Mailing address:** 2323 E PARIS AVE SE, SUITE 101, GRAND RAPIDS, MI 49546-2414
- **Mailing address phone:** (616) 242-0099
- **Mailing address fax:** (616) 242-0099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 6301013480 | MI | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 4301078556 | MI | Yes |

## Other

- **Enumeration date:** 11/29/2012
- **Last updated:** 11/29/2012