Organization
SEAN W HARRELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN W HARRELL PSYCHOLOGIST (OWNER)
(616) 264-5032
Entity
Organization
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE, STE 280, GRAND RAPIDS, MI 49546
(616) 264-5032
(517) 323-9531
Mailing address
351 LAKE EASTBROOK BLVD SE, STE 280, GRAND RAPIDS, MI 49546
(616) 264-5032
(517) 323-9531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016096
MI
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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