Organization
LIDDERDALE CONSULTING PLC
Active
Other names
Melissa A. Lidderdale PLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN LIDDERDALE PHD (PSYCHOLOGIST/OWNER)
(616) 426-9193
Entity
Organization
Contact information
Practice address
1345 MONROE AVE NW STE 252, GRAND RAPIDS, MI 49505-4612
(616) 426-9193
Mailing address
57 COURTLAND ST UNIT 794, ROCKFORD, MI 49341-5027
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
07/07/2020
Last updated
12/02/2025
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