Individual
KATHERINE G PASTOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
436 44TH ST SE STE C, KENTWOOD, MI 49548-4371
(616) 460-6896
Mailing address
453 GREENMEADOW CT SE, CALEDONIA, MI 49316-8050
(616) 460-6896
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017840
MI
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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