Jacquelyn Kellogg, LLC
NPI #1023714409 in Grandville, Michigan
Provider Information
- NPI Number
- 1023714409
- Entity Type
- Organization
- Organization Name
- Jacquelyn Kellogg, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 6, 2023
- Last Updated
- Feb 6, 2023
Practice Location
- Address
- 6018 CORNERSTONE CT SW
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418
- Phone
- (616) 340-1061
Authorized Official
- Name
- JACQUELYN KAY KELLOGG, MA, LLP
- Title
- PSYCHOLOGIST
- Phone
- (616) 340-1061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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