Organization
GRAND RAPIDS PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY MORGAN PSYD (PSYCHOLOGIST)
(616) 915-8153
Entity
Organization
Contact information
Practice address
4403 CASCADE RD SE STE 8, GRAND RAPIDS, MI 49546-3673
(616) 915-8153
Mailing address
1186 OAKBURN AVE SE, GRAND RAPIDS, MI 49546-3767
(616) 915-8153
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275937583
INDIVIDUAL
—
Enumeration date
07/24/2021
Last updated
07/24/2021
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