| NPI | 1871613968 |
|---|---|
| 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 (Licence: MI 6301014348) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301012277) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301012277) | |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301014348) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2024-05-24 |