Individual
KRISTIN M MECKLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
4175 PARKWAY PLACE DR SW STE 100, GRANDVILLE, MI 49418-2382
(616) 371-5166
Mailing address
PO BOX 120125, GRAND RAPIDS, MI 49528-0103
(616) 942-8060
(616) 942-6690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361005978
MI
Other
Enumeration date
03/17/2006
Last updated
07/05/2024
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