Individual
DR. STEVEN ADAM LIFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
304 W MICHIGAN ST, SUITE 16, MT PLEASANT, MI 48858-2492
(989) 400-9254
Mailing address
304 W MICHIGAN ST, SUITE 16, MT PLEASANT, MI 48858-2492
(989) 400-9254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008996
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11281997
CAQH
MI
Enumeration date
10/23/2007
Last updated
06/20/2011
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