Individual
MRS. ELISE PILCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(985) 285-1827
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(985) 285-1827
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352000702
MI
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
10/01/2020
Last updated
06/28/2022
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