Individual
DR. BRIAN EMIL BOSSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 CAMPUS DR, ALLENDALE, MI 49401-9401
(616) 331-3266
Mailing address
5643 TRINITY LN SW, GRANDVILLE, MI 49418-8868
(616) 450-7793
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301014916
MI
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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