| NPI | 1568080687 |
|---|---|
| Former Legal Business Name | MELISSA A. LIDDERDALE PLC |
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN LIDDERDALE Psychologist/Owner 616-426-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-05-30 |