Individual
KERRY KERR MCAVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5060 CASCADE RD SE, SUITE D, GRAND RAPIDS, MI 49546-3808
(616) 454-2911
Mailing address
5060 CASCADE RD SE, SUITE D, GRAND RAPIDS, MI 49546-3808
(616) 454-2911
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008281
MI
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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