Whalio Doctors

NPI 1023070315

Marcia Hollingsworth, EDD

Practitioner Clinical Psychologist Grand Rapids, MI

Practice location

Address
1870 Leonard NE, Grand Rapids, MI 49505
Phone
(616) 956-1122
Fax
(616) 956-8033
Mailing address
PO Box 30516 Dept 6001a, Lansing, MI 48909-8016

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6301007516 (MI)

Registry record

NPI
1023070315
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Apr 2006
Record last updated
8 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.