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General NPI Number Information
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NPI Number | 1184510950
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Entity Type | Organization
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Legal Business Name | MELIORA PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 7150 KALAMAZOO AVE SE STE C
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City | CALEDONIA
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State | MI
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Zip | 49316-9197
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Country | US
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Telephone | 616-550-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 2868 COURT DR SE
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City | LOWELL
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State | MI
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Zip | 49331-9066
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Country | US
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Telephone | 616-550-2111
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | JULIE SMITHEE
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Credential | PH.D.
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Telephone | 616-550-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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