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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JAN L GULLIVER-KLINE, LMSW ACSW

Active Sole Proprietor

Psychologist · BEULAH, MI

Registration Details

NPI Number
1932190428
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2005 (20.501532595303 yrs)
Last Updated
Jan 25, 2011
License
6801019630 (MI)
Sole Proprietor
Yes

Practice Information

Address
425 N. MICHIGAN AVENUE
SUITE C
BEULAH, MI, 49617
Browse MI providers · Browse ZIP 49617
Phone
2318825514
Fax
2318825517
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.