Organization
FADED JEANS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNAH KAY ALLEN-MILLER PSYD, LP (CLINICAL PSYCHOLOGIST)
(517) 375-0040
Entity
Organization
Contact information
Practice address
6499 ALWARD DR, HUDSONVILLE, MI 49426-9312
(517) 375-0040
Mailing address
6499 ALWARD DR, HUDSONVILLE, MI 49426-9312
(517) 375-0040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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