Organization
WENDY ELZINGA MA LLP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SNELLENBERGER (MEDICAL BILLER)
(616) 935-0747
Entity
Organization
Contact information
Practice address
120 S 5TH ST, GRAND HAVEN, MI 49417-1410
(616) 510-6650
Mailing address
120 S 5TH ST, GRAND HAVEN, MI 49417-1410
(616) 510-6650
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301013611
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336304484
INDIVIDUAL NPI
MI
Enumeration date
03/15/2012
Last updated
03/15/2012
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