Terrill Psychological Services Pllc

NPI #1396143079 in Portage, Michigan

Provider Information

NPI Number: 1396143079
Entity Type: Organization
Organization Name: Terrill Psychological Services Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 12, 2014
Last Updated: Dec 12, 2014

Practice Location

Address: 6100 NEWPORT RD
Address 2: SUITE 204
City: Portage
State: Michigan
ZIP Code: 49002-9235
Phone: (269) 388-3939

Authorized Official

Name: MS. MARILYN TERRILL, PHD
Title: OWNER
Phone: (269) 388-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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