| Diane Trebilcock | |
|
2394 Burcham Dr East Lansing MI 48823-7242 | |
| (517) 449-0043 | |
| Not Available |
| Full Name | Diane Trebilcock |
|---|---|
| Speciality | Psychologist |
| Location | 2394 Burcham Dr, East Lansing, Michigan |
| Authorized Official Name and Position | Diane B Trebilcock (PSYCHOLOGIST) |
| Authorized Official Contact | 5174490043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Trebilcock 2394 Burcham Dr East Lansing MI 48823-7242 Ph: (517) 449-0043 | Diane Trebilcock 2394 Burcham Dr East Lansing MI 48823-7242 Ph: (517) 449-0043 |
| NPI Number | 1487850343 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487850343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301007023 (Michigan) | Primary |
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