Organization
CAROLYN VAN CLEAVE, ED.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN VAN CLEAVE ED.D. (PRESIDENT)
(989) 772-6241
Entity
Organization
Contact information
Practice address
901 CANAL ST, MT PLEASANT, MI 48858-3304
(989) 772-6241
(989) 772-8009
Mailing address
901 CANAL ST, MT PLEASANT, MI 48858-3304
(989) 772-6241
(989) 772-8009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002777
MI
Other
Enumeration date
10/27/2007
Last updated
10/27/2007
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