Individual
DR. RACHAEL MARIA BULTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1202 RAVENSWOOD DR, LANSING, MI 48917-2264
(616) 389-3913
Mailing address
1202 RAVENSWOOD DR, LANSING, MI 48917-2264
(616) 389-3913
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016824
MI
Other
Enumeration date
09/21/2016
Last updated
11/03/2021
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