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PSYCH SERVICES, LTD

Clinical Neuropsychologist

Lansing, Michigan

Provider NPI: 1841252186

Organization Information:
Organization Name:  PSYCH SERVICES, LTD
Organization is not Subpart
Authorized Official:  EDWARD C. COOK  PRESIDENT  517-8531925

Practice Location:
809 CENTER STREET SUITE 8A LANSING, MI 48906 US
Tel: 517-853-1925  Fax: 517-853-1926

Business Mailing Address:
809 CENTER STREET SUITE 8A LANSING, MI 48906 US
Tel: 517-853-1925  Fax: 517-853-1926

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MI6301005619

Other Provider Identifiers:

IssuerNumberStateType
BC BS680C346730MI01
TRICARE=========01
BC BS GROUPOC31120MI01
VALUE OPTIONS03612601
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MI - Page 1

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