Individual
MR. CHAD E MUFFLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA LLP
Contact information
Practice address
5220 LOVERS LANE, SUITE 120, PORTAGE, MI 49002
(269) 344-3080
(269) 344-0543
Mailing address
5220 LOVERS LANE, SUITE 120, PORTAGE, MI 49002
(269) 344-3080
(269) 344-0543
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301011598
MI
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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