Organization
COGNITIVE THERAPY OF GRAND RAPIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F MOONEY EDD (PROVIDER)
(616) 666-1510
Entity
Organization
Contact information
Practice address
3206 62ND ST, SAUGATUCK, MI 49453-9701
(616) 666-1510
Mailing address
3206 62ND ST, SAUGATUCK, MI 49453-9701
(616) 666-1510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301001704
MI
Other
Enumeration date
03/30/2015
Last updated
01/26/2023
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