MRS. Diane Mcgowan
NPI #1033271648 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1033271648
- Entity Type
- Individual
- Name
- MRS. Diane Mcgowan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Oct 27, 2009
Practice Location
- Address
- 300 68TH ST SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49548-6927
- Phone
- (616) 455-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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