Organization
PROSPICARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
1409 CHEROKEE ST, KALAMAZOO, MI 49006-2015
(269) 352-7922
Mailing address
1409 CHEROKEE ST, KALAMAZOO, MI 49006-2015
(269) 352-7922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016014
MI
Other
Enumeration date
02/02/2017
Last updated
05/27/2021
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