Individual
MR. JONATHAN DAVID SHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
2720 EAST LANSING DRIVE, EAST LANSING, MI 48823
(517) 337-2900
(517) 351-1279
Mailing address
2720 EAST LANSING DRIVE, EAST LANSING, MI 48823
(517) 337-2900
(517) 351-1279
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013706
MI
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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