Organization
SCHANTZ PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON R SCHANTZ LLP (OWNER)
(616) 312-3175
Entity
Organization
Contact information
Practice address
120 S 5TH ST, GRAND HAVEN, MI 49417-1410
(616) 312-3175
(616) 935-1288
Mailing address
120 S 5TH ST, GRAND HAVEN, MI 49417-1410
(616) 312-3175
(616) 935-1288
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013446
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578838132
INDIVIDUAL NPI
MI
Enumeration date
03/15/2012
Last updated
07/06/2012
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