Organization
HUFFMAN PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY FREEZE (CONSULTANT)
(219) 926-8320
Entity
Organization
Contact information
Practice address
4572 S HAGADORN RD, SUITE 2G, EAST LANSING, MI 48823-5385
(517) 337-9554
(517) 337-9545
Mailing address
4572 S HAGADORN RD, SUITE 2G, EAST LANSING, MI 48823-5385
(517) 337-9554
(517) 337-9545
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01006041
HEALTH PLAN OF MICHIGAN
MI
01
—
200000006961
SPHN PHPMM TPA
MI
01
—
680C312320
BCBS OF MI
MI
01
—
7771
ACCESS ALLIANCE OF MI
MI
Enumeration date
09/20/2007
Last updated
03/03/2010
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