Individual
MS. REBECCA RAE RUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
125 E SOUTHERN AVE, MUSKEGON, MI 49442-5041
(231) 724-3699
(231) 724-3659
Mailing address
PO BOX 5352, NORTH MUSKEGON, MI 49445-0352
(231) 744-4925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008219
MI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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