Organization
HEATLAND PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SMITH (OWNER)
(616) 523-9033
Entity
Organization
Contact information
Practice address
524 W MAIN ST, IONIA, MI 48846
(616) 522-7183
(616) 523-9031
Mailing address
524 W MAIN ST, IONIA, MI 48846-1536
(616) 523-9033
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009002
MI
Other
Enumeration date
05/22/2018
Last updated
08/22/2018
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