OrganizationActive
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NPI 1457940496 · Psychologist · Hudsonville, MI
Provider details
- NPI number
- 1457940496
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Debra Davisson, Biller/Coder(517) 740-0184
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Prescribing (Medical) Psychologist103TP0016X
Behavioral Health & Social Service Providers
Practice location
5619 Balsam Dr
Hudsonville, MI 49426-1128
Phone: (616) 229-2935
Approximate (ZIP-level) locationGet directions
Mailing address
5619 Balsam Dr
Hudsonville, MI 49426-1128
Additional practice locations (1)
- 5619 Balsam DrHudsonville, MI 49426-1128Phone: (616) 229-2935
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.