| Pediatric Psychological Services Pllc | |
|
714 Main St Battle Creek MI 49015-4568 | |
| (269) 979-3881 | |
| (269) 979-2841 |
| Full Name | Pediatric Psychological Services Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 714 Main St, Battle Creek, Michigan |
| Authorized Official Name and Position | Kimberly Kay Wisdorf-houtkooper (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2699793881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Psychological Services Pllc 5181 Walnut Rdg Battle Creek MI 49017-9210 Ph: (269) 979-3881 | Pediatric Psychological Services Pllc 714 Main St Battle Creek MI 49015-4568 Ph: (269) 979-3881 |
| NPI Number | 1952450108 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952450108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301009191 (Michigan) | Primary |
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