Organization
NORTHERN CLINICAL AND DIAGNOSTIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R. HARVEY PH.D. (PSYCHOLOGIST)
(231) 845-2900
Entity
Organization
Contact information
Practice address
101 S JAMES ST, SUITE 215, LUDINGTON, MI 49431-2166
(231) 845-2900
(231) 845-2905
Mailing address
101 S JAMES ST, SUITE 215, LUDINGTON, MI 49431-2166
(231) 845-2900
(231) 845-2905
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301001424
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821144015
INDIVIDUAL NPI NUMBER
—
01
—
68-0-E3-4503-0
BC/BS
MI
Enumeration date
12/20/2007
Last updated
04/21/2008
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