Individual
KARLEEN JO BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LLP
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 559-8596
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301011941
MI
103T00000X
Psychologist
Primary
6361004629
MI
Other
Enumeration date
06/11/2007
Last updated
03/28/2024
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