| Psychological Services Of East Lansing, Pllc | |
|
1650 Kendale Blvd Suite 95 East Lansing MI 48823-2076 | |
| (517) 599-4934 | |
| (517) 489-4444 |
| Full Name | Psychological Services Of East Lansing, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1650 Kendale Blvd, East Lansing, Michigan |
| Authorized Official Name and Position | Jacqueline Titus (OWNER, LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5175994934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of East Lansing, Pllc 1650 Kendale Blvd Suite 95 East Lansing MI 48823-2076 Ph: (517) 599-4934 | Psychological Services Of East Lansing, Pllc 1650 Kendale Blvd Suite 95 East Lansing MI 48823-2076 Ph: (517) 599-4934 |
| NPI Number | 1083984405 |
|---|---|
| Provider Enumeration Date | 01/02/2012 |
| Last Update Date | 01/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083984405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301014282 (Michigan) | Primary |
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