| Adhdonline | |
|
5619 Balsam Dr Hudsonville MI 49426-1128 | |
| (616) 229-2935 | |
| Not Available |
| Full Name | Adhdonline |
|---|---|
| Speciality | Psychologist |
| Location | 5619 Balsam Dr, Hudsonville, Michigan |
| Authorized Official Name and Position | Debra Davisson (BILLER/CODER) |
| Authorized Official Contact | 5177400184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adhdonline 5619 Balsam Dr Hudsonville MI 49426-1128 Ph: (616) 229-2935 | Adhdonline 5619 Balsam Dr Hudsonville MI 49426-1128 Ph: (616) 229-2935 |
| NPI Number | 1457940496 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457940496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Secondary |
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