Organization
MIDWEST MICHIGAN PSYCHOLOGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALLEN DERROR PHD (EXECUTIVE DIRECTOR)
(231) 878-3059
Entity
Organization
Contact information
Practice address
811 SUNNYSIDE DR, SUITE I, CADILLAC, MI 49601-7002
(231) 878-3059
(866) 217-1182
Mailing address
811 SUNNYSIDE DR, SUITE I, CADILLAC, MI 49601-7002
(231) 878-3059
(866) 217-1182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401004326
MI
103T00000X
Psychologist
Primary
6301013463
MI
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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