Individual
JUDY A CUMBERLAND II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013103
MI
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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