Individual
BERNICE S PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
5887 LARKWOOD CT APT 1B, KALAMAZOO, MI 49048-6648
(833) 342-4552
Mailing address
PO BOX 94, NAZARETH, MI 49074-0094
(833) 342-4552
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301015177
MI
103T00000X
Psychologist
Primary
6361007506
MI
Other
Enumeration date
07/16/2012
Last updated
04/30/2021
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