Organization
PSYCHOANALYTICAL & RESEARCH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE EDWARDS PHD (AUTHORIZED OFFICIAL)
(425) 606-5304
Entity
Organization
Contact information
Practice address
2885 SANFORD AVE SW # 23719, GRANDVILLE, MI 49418-1342
(425) 606-5304
Mailing address
2885 SANFORD AVE SW # 23719, GRANDVILLE, MI 49418-1342
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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