DR. MARY VANDERGOOT, PHD
Psychologist
Active
Individual
NPI: 1447220819
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | 6201002122 (MI) |
| Marriage & Family Therapist | 106H00000X | No | 4101005656 (MI) |
Frequently Asked Questions
NPI 1447220819 is the National Provider Identifier for DR. MARY VANDERGOOT, PHD, a Psychologist provider located in Grand Rapids, MI. This NPI was enumerated on January 26, 2006.
DR. MARY VANDERGOOT, PHD practices at 60 MONROE CTR NW, SUITE 8-D, Grand Rapids, MI 49503.
Quick Facts
- NPI
- 1447220819
- Type
- Individual
- Enumerated
- Jan 26, 2006
- Last Updated
- Sep 14, 2011
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