Allyse Marie Ide, TLLP
NPI #1528798667 in Saint Joseph, Michigan
Provider Information
- NPI Number
- 1528798667
- Entity Type
- Individual
- Name
- Allyse Marie Ide, TLLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- TLLP
- Enumeration Date
- Jun 13, 2022
- Last Updated
- Jun 13, 2022
Practice Location
- Address
- 830 PLEASANT ST STE 201
- City
- Saint Joseph
- State
- Michigan
- ZIP Code
- 49085-2279
- Phone
- (269) 982-3832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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