Provider Demographics
NPI:1861594715
Name:KERR, HOPE (MA LLP)
Entity type:Individual
Prefix:MS
First Name:HOPE
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:MA LLP
Other - Prefix:MS
Other - First Name:ROBERTA
Other - Middle Name:H
Other - Last Name:KERR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA LLP
Mailing Address - Street 1:3503 GREENLEAF BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-2580
Mailing Address - Country:US
Mailing Address - Phone:269-423-2003
Mailing Address - Fax:269-375-6078
Practice Address - Street 1:3503 GREENLEAF BLVD STE 202
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-2580
Practice Address - Country:US
Practice Address - Phone:269-423-2003
Practice Address - Fax:269-375-6078
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007181103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383646193OtherEIN
MI383646193OtherEIN