| Organization Name: | SOUTHWEST MICHIGAN PSYCHOLOGICAL SOLUTIONS, PLLC |
| NPI Number: | 1235514373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BECKY NAGY (PSYCHOLOGIST / BUSINESS PARTNER) |
| Mailing Address: | 57239 N Main St Three Rivers |
| State: | MI US |
| Postal Code: | 490939419 |
| Phone Number: | 2192213862 |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2015 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301014295 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |