Individual
ALBERT STANLEY ANISKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
909 FEE RD ROOM B119, MICHIGAN STATE UNIVERSITY DEPARTMENT OF PSYCHIATRY, EAST LANSING, MI 48824-1315
(517) 353-3070
(517) 884-1817
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 353-3070
(517) 884-1817
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301001543
MI
103TC0700X
Clinical Psychologist
Primary
6301001543
MI
Other
Enumeration date
11/30/2005
Last updated
06/26/2023
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