RIVER JOURNEY MEMORY CLINIC, Geriatric Psychiatry LAWTON, MI

Contact Information

RIVER JOURNEY MEMORY CLINIC

28284 62ND AVE
LAWTON, MI 49065-5613

Phone: 269-547-7630
Fax: 269-225-0607
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Geriatric Psychiatry	2084P0805X	86	Physician/Neuropsychiatry

Indicates primary specialty

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NPI Profile & details for RIVER JOURNEY MEMORY CLINIC · (Female)

NPI #	`1326705294`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/26/2021
Last updated	04/19/2023 - About 3 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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