Individual
DR. TERI LYNN DEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 744-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 744-3300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014702
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY 7789
STATE OF FLORIDA- DEPARTMENT OF HEALTH
FL
Enumeration date
09/12/2008
Last updated
04/16/2024
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