Individual
MRS. SHELLY MARIE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. TLLP
Contact information
Practice address
4200 W MICHIGAN AVE, SUITE 211, KALAMAZOO, MI 49006-5892
(269) 370-3038
Mailing address
4200 W MICHIGAN AVE, SUITE 211, KALAMAZOO, MI 49006-5892
(269) 370-3038
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014756
MI
Other
Enumeration date
03/10/2011
Last updated
05/09/2011
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