Individual
ALLISON ANA ILEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4467 CASCADE RD SE STE 4469, GRAND RAPIDS, MI 49546-3776
(616) 209-8862
Mailing address
4467 CASCADE RD SE STE 4469, GRAND RAPIDS, MI 49546-3776
(616) 209-8862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016286
MI
Other
Enumeration date
11/18/2009
Last updated
03/04/2026
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