Individual
MS. PATRICIA ANNE HAIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
25 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4209
(616) 459-7062
(616) 459-0392
Mailing address
25 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4209
(616) 459-7062
(616) 459-0392
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006609
MI
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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