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Individual

DR. PETER L EVERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3663
(616) 957-9112
(616) 957-2409
Mailing address
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3663
(616) 957-9112
(616) 957-2409

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006376
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301006376
STATE LICENSE
MI
Enumeration date
01/08/2007
Last updated
07/08/2007
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