Organization
PEDIATRIC PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY KAY WISDORF-HOUTKOOPER PH.D. (LICENSED PSYCHOLOGIST)
(269) 979-3881
Entity
Organization
Contact information
Practice address
714 MAIN ST, BATTLE CREEK, MI 49015-4568
(269) 979-3881
(269) 979-2841
Mailing address
5181 WALNUT RDG, BATTLE CREEK, MI 49017-9210
(269) 979-3881
(269) 979-2841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009191
MI
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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