Individual
DR. SCOTT GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1000 OAKLAND DR, PSYCHOLOGY CLINIC, KALAMAZOO, MI 49008-1282
(269) 387-8302
Mailing address
1903 W MICHIGAN AVE, PSYCHOLOGY DEPARTMENT, KALAMAZOO, MI 49008-5200
(269) 387-4482
(269) 387-4550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011933
MI
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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