Organization
RIVER WAY PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ELAINE SAMUELS PHD (OWNER)
(231) 881-2416
Entity
Organization
Contact information
Practice address
975 SPAULDING AVE SE STE D, ADA, MI 49301-3776
(231) 881-2416
Mailing address
PO BOX 213, GRANDVILLE, MI 49468-0213
(231) 881-2416
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
02/06/2020
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