Individual
MR. EUGENE PERNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5031 PARK LAKE ROAD, MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS, EAST LANSING, MI 48823-3835
(517) 332-0811
(517) 332-4452
Mailing address
5031 PARK LAKE ROAD, MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS, EAST LANSING, MI 48823-3835
(517) 332-0811
(517) 332-4452
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005277
MI
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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