Organization
HOPE & WHOLENESS PSYCHOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN A DUCKWORTH PSYD (CLINICAL PSYCHOLOGIST)
(616) 795-0298
Entity
Organization
Contact information
Practice address
340 104TH AVE, HOLLAND, MI 49423-9149
(616) 795-0298
Mailing address
1058 VOS ST, JENISON, MI 49428-8105
(616) 795-0298
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016570
MI
Other
Enumeration date
05/11/2017
Last updated
08/03/2017
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