Organization
DIANE TREBILCOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE B TREBILCOCK PHD (PSYCHOLOGIST)
(517) 449-0043
Entity
Organization
Contact information
Practice address
2394 BURCHAM DR, EAST LANSING, MI 48823-7242
(517) 449-0043
Mailing address
2394 BURCHAM DR, EAST LANSING, MI 48823-7242
(517) 449-0043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007023
MI
Other
Enumeration date
06/26/2007
Last updated
11/22/2011
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