Individual
DR. JAMES EUGENE LOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP, NCSP
Contact information
Practice address
5242 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1084
(616) 393-2200
Mailing address
5242 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1084
(616) 393-2200
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
6301019062
MI
Other
Enumeration date
05/25/2022
Last updated
06/03/2022
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