Organization
HARBOR PSYCHOLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA E DIAL EDD (CLINICAL PSYCHOLOGIST/CO-OWNER)
(231) 726-2299
Entity
Organization
Contact information
Practice address
1148 4TH ST, MUSKEGON, MI 49441-1921
(231) 726-2299
(231) 728-6345
Mailing address
1148 4TH ST, MUSKEGON, MI 49441-1921
(231) 726-2299
(231) 728-6345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F110440
FULLY LICENESED PSYCHOLOGISTS
MI
01
—
P10F112290
LIMITED LICENSE PSYCHOLOG
MI
Enumeration date
02/27/2007
Last updated
05/09/2008
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