Individual
CAROL SUNDAY-RASCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4100 LAKE DR SE, SUITE 305, GRAND RAPIDS, MI 49546
(616) 285-1377
(616) 285-1006
Mailing address
61 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4124
(616) 940-0660
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009616
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71701
PRIORITY HEALTH
MI
Enumeration date
05/26/2006
Last updated
11/19/2008
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