Healthcare Provider Details

I. General information

NPI: 1598815342
Provider Name (Legal Business Name): MICHELLE LYNN CROCE PSYD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

694 W CHICAGO RD
COLDWATER MI
49036-8405
US

IV. Provider business mailing address

PO BOX 466
MARSHALL MI
49068-0466
US

V. Phone/Fax

Practice location:
  • Phone: 517-279-8866
  • Fax: 517-924-1816
Mailing address:
  • Phone: 517-279-8866
  • Fax: 517-924-1816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301015633
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: