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ANDREA POLHAMUS REED MA, LLP, BCBA

Cognitive & Behavioral >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1497998306

Individual Registrant:
 ANDREA POLHAMUS REED MA, LLP, BCBA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5580 GLOVERS LAKE RD  ARCADIA, MI 49613-9708 US
Tel: 231-499-0359  Fax: --

Contact information for business:
PO BOX 103  ARCADIA, MI 49613-0103 US
Tel: 231-499-0359  Fax: --

Registration Information:
NPI: 1497998306
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TB0200XBehavioral Health & Social Service Providers
Psychologist
Cognitive & Behavioral
MI6301011030
N103K00000X
MI1010414

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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