Organization
GENESIS PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L. DAY PH.D. (PRESIDENT)
(248) 446-0200
Entity
Organization
Contact information
Practice address
415 S LAFAYETTE ST, SOUTH LYON, MI 48178-1458
(248) 446-0200
(248) 446-0355
Mailing address
415 S LAFAYETTE ST, SOUTH LYON, MI 48178-1458
(248) 446-0200
(248) 446-0355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301003335
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F332290
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/12/2006
Last updated
10/31/2008
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