| Professional Psychological & Rehabilitation Services | |
|
3815 W St Joseph Hwy, Suite A101 Lansing MI 48917 | |
| (517) 321-5900 | |
| (517) 321-5945 |
| Full Name | Professional Psychological & Rehabilitation Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3815 W St Joseph Hwy, Suite A101, Lansing, Michigan |
| Authorized Official Name and Position | Hilton T Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5173215900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychological & Rehabilitation Services 3815 W St Joseph Hwy, Suite A101 Lansing MI 48917 Ph: (517) 321-5900 | Professional Psychological & Rehabilitation Services 3815 W St Joseph Hwy, Suite A101 Lansing MI 48917 Ph: (517) 321-5900 |
| NPI Number | 1972625424 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 10/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972625424 | NPI | - | NPPES |
| OC34604 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301003971 (Michigan) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801063438 (Michigan) | Secondary |
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