139 Education, Llc.
NPI #1013294628 in Grandville, Michigan
Provider Information
- NPI Number
- 1013294628
- Entity Type
- Organization
- Organization Name
- 139 Education, Llc.
- Primary Specialty
- Psychologist
- Enumeration Date
- Nov 10, 2011
- Last Updated
- Feb 21, 2017
Practice Location
- Address
- 3148 44TH ST SW
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418
- Phone
- (800) 600-4096
Authorized Official
- Name
- TIMOTHY ROYER, PSY
- Title
- PROVIDER/AUTHORIZED OFFICIAL
- Phone
- (800) 600-4096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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