| Change Psychology Center | |
|
5304 Alpine Ave Nw Comstock Park MI 49321-9708 | |
| (616) 366-3780 | |
| Not Available |
| Full Name | Change Psychology Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5304 Alpine Ave Nw, Comstock Park, Michigan |
| Authorized Official Name and Position | Chad Louis Wieber (OWNER) |
| Authorized Official Contact | 6163663780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Psychology Center 4134 Cambot Ct Nw Grand Rapids MI 49534-1100 Ph: (616) 366-3780 | Change Psychology Center 5304 Alpine Ave Nw Comstock Park MI 49321-9708 Ph: (616) 366-3780 |
| NPI Number | 1851836589 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851836589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301015319 (Michigan) | Primary |
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