| Acorn Hill Psychology Pllc | |
|
7150 Kalamazoo Ave Se Suite C Caledonia MI 49316 | |
| (616) 219-0159 | |
| (616) 219-0124 |
| Full Name | Acorn Hill Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 7150 Kalamazoo Ave Se, Caledonia, Michigan |
| Authorized Official Name and Position | Graceann Robertson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6164436270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acorn Hill Psychology Pllc 7150 Kalamazoo Ave Se Suite C Caledonia MI 49316-4625 Ph: (616) 219-0159 | Acorn Hill Psychology Pllc 7150 Kalamazoo Ave Se Suite C Caledonia MI 49316 Ph: (616) 219-0159 |
| NPI Number | 1861930158 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 0446535116 |
|---|---|
| Medicare Enrollment ID | O20170320001230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861930158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301008866 (Michigan) | Primary |
| Provider Name | Graceann Mary Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063428134 PECOS PAC ID: 6305931031 Enrollment ID: I20070926000913 |
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