Organization
HEARTS JOURNEY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M. DILSWORTH PHD (LICENSED CLNICAL PSYCHOLOGIST)
(616) 307-1617
Entity
Organization
Contact information
Practice address
6189 LAKE MICHIGAN DR, ALLENDALE, MI 49401-9244
(616) 307-1617
Mailing address
6189 LAKE MICHIGAN DR, ALLENDALE, MI 49401-9244
(616) 307-1617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013131
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063719037
—
MI
Enumeration date
11/15/2013
Last updated
11/15/2013
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