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Organization
PSYCHOLOGICAL SERVICES
Active
Organization
PSYCHOLOGICAL SERVICES
Active
Other names
Psych Svcs SW Hi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GRAY PERRA EDD (OWNER PSYCHOLOGIST)
(269) 651-3902
Entity
Organization
Contact information
Practice address
103 S 4TH ST, STURGIS, MI 49091-1819
(269) 651-3902
(269) 659-4874
Mailing address
103 S 4TH ST, STURGIS, MI 49091-1819
(269) 651-3902
(269) 659-4874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/23/2007
Last updated
07/02/2008
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