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Organization

PEDIATRIC PSYCHOLOGISTS OF WEST MICHIGAN, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLY ANNE GRIFFIN M.A. (SENIOR PARTNER)
(616) 262-2494
Entity
Organization

Contact information

Practice address
2090 CELEBRATION DR NE STE 212, GRAND RAPIDS, MI 49525-9200
(616) 262-2494
Mailing address
2090 CELEBRATION DR NE STE 212, GRAND RAPIDS, MI 49525-9200
(616) 262-2494

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
07/10/2008
Last updated
07/29/2008
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