Dr. Katlin Knodel, PsyD
Psychologist, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1679080618
StatusActive
Last updated in NPPESJul 16, 2024
Details
- NPI
- 1679080618
- Entity type
- Individual (NPI-1)
- Name
- Dr. Katlin Knodel
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2017
- Certification date
- Jul 16, 2024
- Last updated
- Jul 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301019429 | MI | Yes |
Practice location
35 Michigan St Ne Ste 5201Grand Rapids, MI 49503-2530
Phone 616-267-2820
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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