Organization
CENTRAL MICHIGAN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE R HODGKINS (DIRECTOR OF CLINICAL SERVICES)
(989) 774-6624
Entity
Organization
Contact information
Practice address
1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Mailing address
1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
208000000X
Pediatrics Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/08/2014
Last updated
02/17/2022
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