Individual
GARY R WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MALLP
Contact information
Practice address
200 S WENONA ST STE 280, BAY CITY, MI 48706-8845
(989) 892-4711
(989) 892-4761
Mailing address
200 S WENONA ST STE 280, BAY CITY, MI 48706-8845
(989) 892-4711
(989) 892-4761
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
GW003290
MI
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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