Individual
DR. KIMBERLY KAY WISDORF-HOUTKOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
71 S 20TH ST STE 209, BATTLE CREEK, MI 49015-2900
(269) 501-0125
(888) 614-4010
Mailing address
5181 WALNUT RDG, BATTLE CREEK, MI 49017-9210
(269) 501-0125
(888) 614-4010
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009191
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301009191
MI
Other
Enumeration date
09/17/2006
Last updated
07/20/2023
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