Individual
VIVIAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
3960 PATIENT CARE WAY STE 104, LANSING, MI 48911-4276
(517) 887-9801
(517) 887-9826
Mailing address
3960 PATIENT CARE WAY STE 104, LANSING, MI 48911-4276
(517) 887-9801
(517) 887-9826
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014484
MI
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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