| NPI | 1366835589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ANN HOLLINGSWORTH Licensed Psychologist 616-450-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301007516) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2018-02-21 |