139 Education, Llc.

NPI 1013294628 - Psychologist - 103T00000X

NPI Details
NPI 1013294628
Enumeration Date 11/10/2011
Last Updated 11/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TIMOTHY TIMOTHY
Position OWNER
Phone (800) 600-4096
Fax (800) 606-8839
Practice Location
3790 30TH ST SW
GRANDVILLE MI, 49418-1602, US
Phone (800) 600-4096
Fax (800) 606-8839
Business Location
3790 30TH ST SW
GRANDVILLE MI, 49418-1602, US
Phone (800) 600-4096
Fax (800) 606-8839
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number 6301009353
Remove 1013294628 NPI Number
 

According to our database, 139 Education, Llc. NPI is 1013294628, taxonomy code is 103T00000X and license number is 6301009353, license state is located at Michigan. 139 Education, Llc. physically located at 3790 30th St Sw, Grandville MI, 49418-1602. NPI Number 1033115704 has the healthcare provider type.

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1013294628 NPI number is provided on an as is basis without warranty of any kind. 1013294628 is maintained by the National Plan & Provider Enumeration System. The contents of 139 Education, Llc. are for informational purposes only.