Individual
PAUL LABERTEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4519 CASCADE RD SE, GRAND RAPIDS, MI 49546-3666
(616) 560-7100
Mailing address
4254 4 MILE RD NE, GRAND RAPIDS, MI 49525-9712
(616) 560-7100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002151
MI
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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