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Contact Information

THE SHORELINE CENTER LLC
16925 ABILITY WAY
GRAND HAVEN, MI49417-9325
 Phone: 616-935-7606
 Fax: 616-935-7607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for THE SHORELINE CENTER LLC · (Female)

NPI Number 1942689708
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2015
Last updated 08/03/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 6301014390
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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