Individual
DR. JULIET MARIA COSCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
235 WEALTHY AVE SE, DEPARTMENT OF PSYCHOLOGY, GRAND RAPIDS, MI 49503-5299
(616) 242-9201
(616) 451-9513
Mailing address
235 WEALTHY AVE SE, DEPARTMENT OF PSYCHOLOGY, GRAND RAPIDS, MI 49503-5299
(616) 242-9201
(616) 451-9513
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
6301012170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JC012170
PRIORITY HEALTH BLUE CROS
—
Enumeration date
04/24/2006
Last updated
07/08/2007
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