Individual
WILLIAM P. KOOISTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
41 WASHINGTON AVE, STE 365, GRAND HAVEN, MI 49417-3304
(616) 399-9911
Mailing address
41 WASHINGTON AVE, STE 365, GRAND HAVEN, MI 49417-3304
(616) 638-7557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007943
MI
Other
Enumeration date
12/26/2007
Last updated
12/23/2016
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