Individual
DR. KERRY LEE GARRETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6912 SPRING VALLEY DR, SUITE 202C, HOLLAND, OH 43528-9676
(419) 866-4644
(419) 861-5040
Mailing address
4986 COUNTY ROAD 6 1, DELTA, OH 43515-9241
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2500
OH
103TB0200X
Cognitive & Behavioral Psychologist
2500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0528003
—
OH
Enumeration date
02/16/2007
Last updated
10/27/2011
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