Organization
KALAMAZOO EVIDENCE BASED THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA CANE PH.D, LP (CLINICAL DIRECTOR)
(269) 598-5861
Entity
Organization
Contact information
Practice address
530 NICHOLS RD, KALAMAZOO, MI 49006-2946
(269) 598-5861
(888) 889-7312
Mailing address
2020 GRAND AVE, KALAMAZOO, MI 49006-4309
(269) 598-5861
(888) 889-7312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014776
MI
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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