| NPI | 1033383591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE J GOCKMAN Clinical Psychologist 616-494-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301005808) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-10-03 |