Organization
LISA MCMICHAEL LLC
Active
Other names
LISA MCMICHAEL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN MCMICHAEL PSY.D. (PSYCHOLOGIST)
(812) 345-0492
Entity
Organization
Contact information
Practice address
608 W GLEN ARBOR WAY, BLOOMINGTON, IN 47403-4537
(812) 345-0492
Mailing address
608 W GLEN ARBOR WAY, BLOOMINGTON, IN 47403-4537
(812) 345-0492
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
08/16/2023
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