Organization
EASTERN MICHIGAN UNIVERSITY
Active
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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