Organization
HEALTH PSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA R. WILLIAMS LMSW (VICE PRESIDENT)
(269) 375-0624
Entity
Organization
Contact information
Practice address
3335 S. 9TH STREET, KALAMAZOO, MI 49009
(269) 375-0624
(269) 375-0008
Mailing address
P.O. BOX 263, OSHTEMO, MI 49077-0263
(269) 375-0624
(269) 375-0008
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301001976
MI
104100000X
Social Worker
6801065401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C945110
BLUE CROSS
MI
01
—
8008902000
BLUE CROSS
MI
Enumeration date
01/22/2007
Last updated
08/04/2011
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