Individual
MS. KYLENE LYNN SCHIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.L.P
Contact information
Practice address
2040 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7718
(616) 402-2133
Mailing address
2040 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7718
(616) 402-2133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361001466
MI
103TC0700X
Clinical Psychologist
6361001466
MI
103TC1900X
Counseling Psychologist
6361001466
MI
Other
Enumeration date
09/30/2008
Last updated
03/03/2025
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