Individual
RICHARD T. DINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LTD. PSY.
Contact information
Practice address
1066 APPLEGATE LN, EAST LANSING, MI 48823-2118
(517) 290-7672
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6361001126
MI
103TC0700X
Clinical Psychologist
Primary
6361001126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P108952070
INDIVIDUAL BCBS PIN #
MI
Enumeration date
01/22/2007
Last updated
05/11/2026
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