Organization
OLIVIA TORRES PSYD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVIA R TORRES PSYD (PSYCHOLOGIST RESIDENT)
(309) 208-6430
Entity
Organization
Contact information
Practice address
833 KENMOOR AVE SE STE A, GRAND RAPIDS, MI 49546-2390
(309) 208-6430
(616) 965-3968
Mailing address
833 KENMOOR AVE SE STE A, GRAND RAPIDS, MI 49546-2390
(309) 208-6430
(616) 965-3968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/22/2018
Last updated
10/25/2018
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