Individual
MARY BETH CHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
4701 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49525-1644
(616) 361-3398
(616) 361-3395
Mailing address
4701 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49525-1644
(616) 361-3398
(616) 361-3395
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301010573
MI
Other
Enumeration date
05/22/2007
Last updated
03/29/2011
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