Individual
DR. LARRY DAVID IREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4328 W MICHIGAN AVE, KALAMAZOO, MI 49006-5823
(269) 353-4223
Mailing address
139 COUNTRY CLUB BLVD, PLAINWELL, MI 49080-9120
(269) 207-7371
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301003081
MI
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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