Bernice S Patterson TLLP

NPI 1225383375 - Psychologist - 103T00000X

NPI Details
NPI 1225383375
Gender Female
Enumeration Date 07/16/2012
Last Updated 07/16/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
GRANDVILLE MI, 49418-2695, US
Phone (616) 222-3700
Business Location
300 68TH ST SE
GRAND RAPIDS MI, 49548-6927, US
Phone (616) 455-5000
Taxonomy Code 103T00000X
License State Michigan
License Number 6301015177
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According to our database, Bernice S Patterson TLLP NPI is 1225383375, taxonomy code is 103T00000X and license number is 6301015177, license state is located at Michigan. Bernice S Patterson TLLP physically located at 4211 Parkway Pl Sw, Grandville MI, 49418-2695. NPI Number Bernice S Patterson TLLP has the Individual type.

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1225383375 NPI number is provided on an as is basis without warranty of any kind. 1225383375 is maintained by the National Plan & Provider Enumeration System. The contents of Bernice S Patterson TLLP are for informational purposes only.