Individual
MR. EDWARD JOSEPH LOFTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. LLP.
Contact information
Practice address
50 FILER ST, SUITE 210-E, MANISTEE, MI 49660-2726
(231) 398-0349
(231) 723-5870
Mailing address
50 FILER ST, SUITE 210-E, MANISTEE, MI 49660-2726
(231) 398-0349
(231) 723-5870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6301006424
MI
103T00000X
Psychologist
6301006424
MI
103TC0700X
Clinical Psychologist
Primary
6301006424
MI
103TF0000X
Family Psychologist
6301006424
MI
103TP2701X
Group Psychotherapy Psychologist
6301006424
MI
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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