Vicki Lynn Nelson Smeby MA LLP

NPI 1720152119 - Psychologist - 103TC1900X

NPI Details
NPI 1720152119
Gender Female
Enumeration Date 11/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4519 CASCADE RD SE
BLDG 2 STE 1
GRAND RAPIDS MI, 49546-3666, US
Phone (616) 460-1819
Fax (616) 942-9490
Business Location
2208 STRATFORD CT SE
EAST GRAND RAPIDS MI, 49506-4133, US
Phone (616) 460-1819
Fax (616) 942-9490
Toxanomy
Taxonomy Code 103TC1900X
License State Michigan
License Number 6301010861
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According to our database, Ms. Vicki Lynn Nelson Smeby MA LLP NPI is 1720152119, taxonomy code is 103TC1900X and license number is 6301010861, license state is located at Michigan. Vicki Lynn Nelson Smeby MA LLP physically located at 4519 Cascade Rd Se, Grand Rapids MI, 49546-3666. NPI Number Vicki Lynn Nelson Smeby MA LLP has the Individual type.

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1720152119 NPI number is provided on an as is basis without warranty of any kind. 1720152119 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Lynn Nelson Smeby MA LLP are for informational purposes only.