| Holland Psychological Services Pllc | |
|
250 Monroe Ave Nw # 2511 Grand Rapids MI 49503-2211 | |
| (313) 424-9995 | |
| Not Available |
| Full Name | Holland Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 250 Monroe Ave Nw # 2511, Grand Rapids, Michigan |
| Authorized Official Name and Position | Lawrence Michael Kalb (PSYCHOLOGIST) |
| Authorized Official Contact | 3134249995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holland Psychological Services Pllc 6143 Madison St Coloma MI 49038-9335 Ph: (313) 424-9995 | Holland Psychological Services Pllc 250 Monroe Ave Nw # 2511 Grand Rapids MI 49503-2211 Ph: (313) 424-9995 |
| NPI Number | 1932923596 |
|---|---|
| Provider Enumeration Date | 11/11/2024 |
| Last Update Date | 11/11/2024 |
| Certification Date | 11/11/2024 |
| Medicare PECOS PAC ID | 5799213492 |
|---|---|
| Medicare Enrollment ID | O20250108003837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932923596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lawrence M Kalb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225331051 PECOS PAC ID: 4688827991 Enrollment ID: I20170120002308 |
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