Individual
FELICIA ACELIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5320 HOLIDAY TER STE 3, KALAMAZOO, MI 49009-2100
(269) 459-1512
Mailing address
2025 SUNNYSIDE DR, KALAMAZOO, MI 49048-1342
(269) 569-6617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6352000608
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/02/2017
Last updated
06/20/2021
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