Organization
HULST PSYCHOLOGY AND ASSESSMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSIE HULST MA (PSYCHOLOGIST)
(616) 901-0336
Entity
Organization
Contact information
Practice address
4940 CASCADE RD SE, SUITE 230, GRAND RAPIDS, MI 49546-3708
(616) 803-0643
Mailing address
4940 CASCADE RD SE, SUITE 230, GRAND RAPIDS, MI 49546-3708
(616) 803-0643
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301013253
MI
103T00000X
Psychologist
Primary
6301013813
MI
Other
Enumeration date
02/05/2013
Last updated
01/14/2014
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