Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 6301012835 | MI |
NPI | 1104055615 |
---|---|
Provider Name | Dr. Danielle Wright Standish |
First Address | Kalamazoo, MI 49009-5733 |
Second Address | Kalamazoo, MI 49009-5733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2009 |
Last Update Date | 06/07/2009 |