| NPI | 1700430493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELL MARIE WELLMAN Owner/Limited Liability Psychologis 616-366-6805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |