| Jenison Psychological Services Pc | |
|
1836 Baldwin St Jenison MI 49428-8901 | |
| (616) 457-0016 | |
| Not Available |
| Full Name | Jenison Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1836 Baldwin St, Jenison, Michigan |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT, TREASURER, SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenison Psychological Services Pc 2550 S Telegraph Rd Ste 250 Bloomfield Hills MI 48302-0909 Ph: () - | Jenison Psychological Services Pc 1836 Baldwin St Jenison MI 49428-8901 Ph: (616) 457-0016 |
| NPI Number | 1598417958 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598417958 | NPI | - | NPPES |
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