Individual
MR. CLEOPAS ALLAN KALIATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
157 S KALAMAZOO MALL STE 250, KALAMAZOO, MI 49007-4828
(269) 383-1440
(269) 383-9781
Mailing address
6023 LITCHFIELD LN, KALAMAZOO, MI 49009-9128
(269) 760-8553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361006494
MI
103TC1900X
Counseling Psychologist
6361006494
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6361006494
MI
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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