| Ck Psychological Associates, P.c. | |
|
246 S River Ave Suite 105 Holland MI 49423-3253 | |
| (616) 494-0808 | |
| (616) 494-0011 |
| Full Name | Ck Psychological Associates, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 246 S River Ave, Holland, Michigan |
| Authorized Official Name and Position | Christine J Gockman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6164940808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ck Psychological Associates, P.c. 246 S River Ave Suite 105 Holland MI 49423-3253 Ph: (616) 494-0808 | Ck Psychological Associates, P.c. 246 S River Ave Suite 105 Holland MI 49423-3253 Ph: (616) 494-0808 |
| NPI Number | 1033383591 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 10/03/2008 |
| Medicare PECOS PAC ID | 6406935170 |
|---|---|
| Medicare Enrollment ID | O20081006000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033383591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301005808 (Michigan) | Primary |
| Provider Name | Christine J Gockman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407969991 PECOS PAC ID: 8325127210 Enrollment ID: I20081006000377 |
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