Individual
ROCHELLE G MANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3351 EAGLE RUN DR NE, SUITE C, GRAND RAPIDS, MI 49525-7053
(616) 365-8920
(616) 365-8971
Mailing address
3351 EAGLE RUN DR NE, SUITE C, GRAND RAPIDS, MI 49525-7053
(616) 365-8920
(616) 365-8971
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301009319
MI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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