Individual
MICHAEL CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
3630 CAPITAL AVE SW, SUITE 1, BATTLE CREEK, MI 49015-7375
(269) 979-8333
(269) 979-7766
Mailing address
3630 CAPITAL AVE SW, SUITE 1, BATTLE CREEK, MI 49015-7375
(269) 979-8333
(269) 979-7766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013001
MI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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