Individual
TALITHA P EASTERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
302 SOUTH WAVERLY, SUITE 1, LANSING, MI 48917
(517) 321-5900
(517) 321-5945
Mailing address
302 SOUTH WAVERLY, SUITE 1, LANSING, MI 48917
(517) 321-5900
(517) 321-5945
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014347
MI
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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