Individual
HIRAL R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1447 E GRAND RIVER AVE, PORTLAND, MI 48875-1631
(616) 227-0555
(517) 647-1100
Mailing address
1447 E GRAND RIVER AVE, PORTLAND, MI 48875-1631
(616) 227-0555
(517) 647-1100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018316
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2012
Last updated
03/19/2020
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