Individual
PAUL HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1870 LEONARD ST NE, GRAND RAPIDS, MI 49505-5650
(616) 956-1122
(616) 956-8033
Mailing address
1870 LEONARD ST NE, GRAND RAPIDS, MI 49505-5650
(616) 956-1122
(616) 956-8033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013946
MI
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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