Individual
DARREL LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
24 N SAINT JOSEPH AVE STE G, NILES, MI 49120-2263
(269) 925-0585
(269) 927-1326
Mailing address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0585
(269) 927-1326
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009870
MI
Other
Enumeration date
01/02/2024
Last updated
02/19/2024
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