| NPI | 1407435563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JEAN ZONNEBELT-SMEENGE Clinical Psychologist 616-780-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-04-06 |