Organization
HRA PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HECKMAN CPB (PRACTICE MANAGER)
(616) 458-0692
Entity
Organization
Contact information
Practice address
2851 CHARLEVOIX DR SE STE 323, GRAND RAPIDS, MI 49546-7092
(616) 458-0692
(616) 458-8129
Mailing address
2851 CHARLEVOIX DR SE STE 323, GRAND RAPIDS, MI 49546-7092
(616) 458-0692
(616) 458-8129
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/14/2006
Last updated
01/02/2025
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