IndividualActive
Allyse Ide, TLLP
NPI 1528798667 · Clinical Psychologist · Saint Joseph, MI
Provider details
- NPI number
- 1528798667
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- TLLP
- Sex
- Female
- Sole proprietor
- No
- License
- 6362009552 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
830 Pleasant St Ste 201
Saint Joseph, MI 49085-2279
Phone: (269) 982-3832
Approximate (ZIP-level) locationGet directions
Mailing address
830 Pleasant St Ste 201
Saint Joseph, MI 49085-2279
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.