Individual
CHRISTINA BARLAND EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3555 BURTON ST SE, GRAND RAPIDS, MI 49546-7648
(616) 481-7123
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014409
MI
Other
Enumeration date
07/29/2008
Last updated
04/22/2010
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