| Lidderdale Consulting Plc | |
|
668 3 Mile Rd Nw Ste D Grand Rapids MI 49544-8219 | |
| (616) 426-9193 | |
| (616) 426-9455 |
| Full Name | Lidderdale Consulting Plc |
|---|---|
| Speciality | Psychologist |
| Location | 668 3 Mile Rd Nw Ste D, Grand Rapids, Michigan |
| Authorized Official Name and Position | Melissa Ann Lidderdale (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6164269193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lidderdale Consulting Plc 57 Courtland St Unit 794 Rockford MI 49341-5027 Ph: (616) 426-9193 | Lidderdale Consulting Plc 668 3 Mile Rd Nw Ste D Grand Rapids MI 49544-8219 Ph: (616) 426-9193 |
| NPI Number | 1871613968 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871613968 | NPI | - | NPPES |
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