| Dr Marcia Hollingsworth, Ed.d, Pllc | |
|
2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673 | |
| (616) 450-5535 | |
| (616) 957-1438 |
| Full Name | Dr Marcia Hollingsworth, Ed.d, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2025 E Beltline Ave Se Ste 102, Grand Rapids, Michigan |
| Authorized Official Name and Position | Marcia Ann Hollingsworth (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6164505535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marcia Hollingsworth, Ed.d, Pllc 2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673 Ph: (616) 450-5535 | Dr Marcia Hollingsworth, Ed.d, Pllc 2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673 Ph: (616) 450-5535 |
| NPI Number | 1366835589 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 02/21/2018 |
| Medicare PECOS PAC ID | 4486972809 |
|---|---|
| Medicare Enrollment ID | O20150415002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366835589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301007516 (Michigan) | Primary |
| Provider Name | Marcia A Hollingsworth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023070315 PECOS PAC ID: 3678760774 Enrollment ID: I20101214001180 |
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