Individual
SELINA MARIA HILL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301014158
MI
103T00000X
Psychologist
Primary
6301014668
MI
Other
Enumeration date
06/15/2009
Last updated
10/02/2012
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