Organization
KRISTIN EMANUEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN EMANUEL PHD (LICENSED PSYCHOLOGIST)
(269) 428-4789
Entity
Organization
Contact information
Practice address
3408 NILES RD, SAINT JOSEPH, MI 49085-8628
(269) 428-4789
Mailing address
3408 NILES RD, SAINT JOSEPH, MI 49085-8628
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015211
MI
Other
Enumeration date
10/30/2016
Last updated
10/30/2016
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