Organization
MISSI NADEAU PH.D. P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISSI NADEAU PH.D. (SOLE PROPRIETOR)
(231) 722-7751
Entity
Organization
Contact information
Practice address
1735 PECK ST, MUSKEGON, MI 49441-2507
(231) 722-7751
Mailing address
PO BOX 5092, MUSKEGON, MI 49445-5092
(231) 722-7751
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007867
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301007867
MI
103TF0200X
Forensic Psychologist
6301007867
MI
103TH0004X
Health Psychologist
6301007867
MI
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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