Individual
ELIZABETH BOUWSMA OPPEWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
277 NORTH ST, ALLEGAN, MI 49010-1138
(269) 673-5092
Mailing address
644 HAWTHORNE ST NE, GRAND RAPIDS, MI 49503-3412
(616) 443-8379
(269) 686-4601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009033
MI
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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