Organization
PAUL HEWITT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL S HEWITT PSY.D. (OWNER)
(616) 551-4694
Entity
Organization
Contact information
Practice address
4131 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 551-4694
Mailing address
4131 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 551-4694
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013946
MI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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