Organization
CHILD & FAMILY PSYCHOLOGICAL SERVICES, P.C.
Active
Organization
CHILD & FAMILY PSYCHOLOGICAL SERVICES, P.C.
Active
Other names
Child and Family Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MCGRUDER (PRACTICE MANAGER)
(269) 372-4140
Entity
Organization
Contact information
Practice address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
(269) 372-4141
(269) 372-0390
Mailing address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
(269) 372-4141
(269) 372-0390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/17/2006
Last updated
03/24/2025
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