| Lakeshore Psychology, Pllc | |
|
1325 E Sherman Blvd Muskegon MI 49444-1813 | |
| (231) 737-8446 | |
| (231) 737-0510 |
| Full Name | Lakeshore Psychology, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1325 E Sherman Blvd, Muskegon, Michigan |
| Authorized Official Name and Position | Lori Diana Milan (SOLE MEMBER) |
| Authorized Official Contact | 6165029064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Psychology, Pllc 17215 Rolling Dunes Dr West Olive MI 49460-9512 Ph: (616) 502-9064 | Lakeshore Psychology, Pllc 1325 E Sherman Blvd Muskegon MI 49444-1813 Ph: (231) 737-8446 |
| NPI Number | 1922285113 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922285113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301009500 (Michigan) | Primary |
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