Individual
KAREN M VANDEUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4467 CASCADE RD SE SUITE 4481, GRAND RAPIDS, MI 49546
(616) 942-8060
(616) 942-6690
Mailing address
PO BOX 120125, GRAND RAPIDS, MI 49528-0103
(616) 942-8060
(616) 942-6690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010798
MI
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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