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Contact Information

KLOTT PSYCHOLOGICAL SERVICES PLLC
233 FULTON ST E
SUITE 24
GRAND RAPIDS, MI49503-3200
 Phone: 616-204-5828
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KLOTT PSYCHOLOGICAL SERVICES PLLC

NPI Number 1053652909
LBN Legal business name KLOTT PSYCHOLOGICAL SERVICES PLLC
Authorized official REBECCA KLOTT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2013
Last updated 03/18/2014 - About 12 years ago
Identifiers
MI License # 6301015303
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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