Organization
CANDACE W ROSS PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH HOUPT (BILLING/CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 501-8537
(269) 492-6473
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 501-8537
(269) 492-6473
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301015853
MI
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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