Jacquelyn Kellogg, Llc | |
6018 Cornerstone Ct Sw Grandville MI 49418 | |
(616) 340-1061 | |
Not Available |
Full Name | Jacquelyn Kellogg, Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 6018 Cornerstone Ct Sw, Grandville, Michigan |
Authorized Official Name and Position | Jacquelyn Kay Kellogg (PSYCHOLOGIST) |
Authorized Official Contact | 6163401061 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Kellogg, Llc 6018 Cornerstone Ct Sw Grandville MI 49418 Ph: (616) 340-1061 | Jacquelyn Kellogg, Llc 6018 Cornerstone Ct Sw Grandville MI 49418 Ph: (616) 340-1061 |
NPI Number | 1023714409 |
---|---|
Provider Enumeration Date | 02/06/2023 |
Last Update Date | 02/06/2023 |
Certification Date | 02/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023714409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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