Individual
EMILE MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16930 ROBBINS RD, SUITE 120, GRAND HAVEN, MI 49417-2787
(616) 935-7606
(616) 935-7607
Mailing address
16930 ROBBINS RD, SUITE 120, GRAND HAVEN, MI 49417-2787
(616) 935-7606
(616) 935-7607
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301016347
MI
103TC0700X
Clinical Psychologist
Primary
6301016347
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301016347
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301016347
MI
103TP2701X
Group Psychotherapy Psychologist
6301016347
MI
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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