| East Lansing Psychological Services Pllc | |
|
121 Burcham Dr East Lansing MI 48823-2703 | |
| (517) 420-1377 | |
| Not Available |
| Full Name | East Lansing Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 121 Burcham Dr, East Lansing, Michigan |
| Authorized Official Name and Position | Eileen Hathaway (OWNER) |
| Authorized Official Contact | 5174201377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Lansing Psychological Services Pllc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | East Lansing Psychological Services Pllc 121 Burcham Dr East Lansing MI 48823-2703 Ph: (517) 420-1377 |
| NPI Number | 1689015703 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689015703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301009001 (Michigan) | Primary |
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