Individual
DR. PETER KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4032 LINDBERG AVE NE, GRAND RAPIDS, MI 49525-1451
(616) 570-5056
Mailing address
4032 LINDBERG AVE NE, GRAND RAPIDS, MI 49525-1451
(616) 570-5056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071007428
IL
103TC0700X
Clinical Psychologist
Primary
6301016953
MI
Other
Enumeration date
07/07/2008
Last updated
06/03/2024
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