Individual
DR. EILEEN SUE CHAFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4700 BRIARHILL DR, PORTAGE, MI 49024-8130
(269) 353-3902
Mailing address
4700 BRIARHILL DR, PORTAGE, MI 49024-8130
(269) 372-2636
(269) 372-0390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007963
MI
Other
Enumeration date
08/15/2006
Last updated
07/12/2022
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