Individual
DR. KELLY DIANE DARBY HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-5600
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2973
TN
103T00000X
Psychologist
PS016389
PA
103TC0700X
Clinical Psychologist
Primary
6301019678
MI
Other
Enumeration date
08/13/2006
Last updated
02/04/2026
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