Individual
JENNIFER L GRZEGOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4572S HAGADORN RD 2E, EAST LANSING, MI 48823-5385
(517) 896-4231
Mailing address
4572S HAGADORN RD 2E, EAST LANSING, MI 48823-5385
(517) 896-4231
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C31308
BLUE CROSS & BLUE SHIELD
MI
Enumeration date
07/12/2006
Last updated
11/11/2015
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