Individual
DR. ANDREW JAMES CRISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
185 44TH ST SW STE B, GRANDVILLE, MI 49418-3363
(262) 352-2742
Mailing address
185 44TH ST SW STE B, GRANDVILLE, MI 49418-3363
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4098-57
WI
103TC0700X
Clinical Psychologist
Primary
6301019237
MI
Other
Enumeration date
06/23/2023
Last updated
07/26/2023
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