Individual
PATRICK AARON SORRELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
14422 WESTWIND LN, GRAND HAVEN, MI 49417-9382
(616) 212-5040
Mailing address
14422 WESTWIND LN, GRAND HAVEN, MI 49417-9382
(616) 212-5040
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2653730
MI
103TS0200X
School Psychologist
SP0000303
MI
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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