Individual
DR. HARLEY DEAN DORMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
2305 EAST PARIS AVE SE, SUITE 203, GRAND RAPIDS, MI 49546-2426
(616) 929-0226
Mailing address
2305 EAST PARIS AVE., SUITE 203, GRAND RAPIDS, MI 49546
(616) 929-0226
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
8795
MI
Other
Enumeration date
02/15/2007
Last updated
11/01/2013
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