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General NPI Number Information
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NPI Number | 1154255586
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Entity Type | Organization
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Legal Business Name | LVS CLINICAL PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 4467 CASCADE RD SE STE 4469
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-3776
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Country | US
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Telephone | 517-795-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 4467 CASCADE RD SE STE 4469
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-3776
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / PSYCHOLOGIST
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Name | LISA VROMAN STOKES
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Credential | PHD
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Telephone | 517-795-7190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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