Organization
EASTERN MICHIGAN UNIVERSITY
Active
Other names
Counseling and Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LAUTERBACH PH.D. (DIRECTOR)
(734) 487-1118
Entity
Organization
Contact information
Practice address
1075 NORTH HURON RIVER DRIVE, YPSILANTI, MI 48197
(734) 487-1118
(734) 481-0050
Mailing address
1075 NORTH HURON RIVER DRIVE, YPSILANTI, MI 48197
(734) 487-1118
(734) 481-0050
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
07/29/2022
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