Individual
HANNAH BAXENDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
640 3 MILE RD NW STE G, GRAND RAPIDS, MI 49544-8209
(616) 369-8433
Mailing address
640 3 MILE RD NW STE G, GRAND RAPIDS, MI 49544-8209
(616) 369-8433
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009655
MI
Other
Enumeration date
10/26/2017
Last updated
11/07/2023
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