Individual
MRS. CATHERINE RANDELL FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.L.P.
Contact information
Practice address
4490 BIRCHWOOD CT, MUSKEGON, MI 49441-4804
(231) 799-2323
Mailing address
4490 BIRCHWOOD CT, MUSKEGON, MI 49441-4804
(231) 799-2323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000019231
PRIORITY HEALTH
MI
01
—
507110
CARE CHOICES
MI
01
—
6301009970
LICENSE
MI
Enumeration date
01/11/2007
Last updated
07/08/2007
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