Provider First Line Business Practice Location Address:
555 MID TOWNE NE SUITE 304
Provider Second Line Business Practice Location Address:
PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC
Provider Business Practice Location Address City Name:
GRAND RAPIDS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-458-4444
Provider Business Practice Location Address Fax Number:
616-458-4440
Provider Enumeration Date:
07/14/2006