Organization
PSYCHOLOGICAL SERVICES OF EAST LANSING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE TITUS PH.D (OWNER, LICENSED PSYCHOLOGIST)
(517) 599-4934
Entity
Organization
Contact information
Practice address
1650 KENDALE BLVD, SUITE 95, EAST LANSING, MI 48823-2076
(517) 599-4934
(517) 489-4444
Mailing address
1650 KENDALE BLVD, SUITE 95, EAST LANSING, MI 48823-2076
(517) 599-4934
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014282
MI
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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