Individual
LAWRENCE FISCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
18501 ROTUNDA DR STE 100, DEARBORN, MI 48124-3891
(313) 996-1930
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006461
MI
103TC0700X
Clinical Psychologist
6301006461
MI
Other
Enumeration date
04/28/2006
Last updated
12/28/2023
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