Organization
RANDALL WOLTHUIS, PH.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL LEE WOLTHUIS PH.D. (LICENSED PSYCHOLOGIST)
(616) 275-2113
Entity
Organization
Contact information
Practice address
8202 TRIPLE L TRL SE, ALTO, MI 49302-9551
(616) 275-2113
Mailing address
8202 TRIPLE L TRL SE, ALTO, MI 49302-9551
(616) 250-2217
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
03/21/2024
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