Organization
LAURA ANN WYGLINSKI, PH. D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ANN WYGLINSKI (PSYCHOLOGIST LLP)
(517) 483-3081
Entity
Organization
Contact information
Practice address
4675 OKEMOS RD, OKEMOS, MI 48864-1974
(517) 483-3081
Mailing address
4200 WAINWRIGHT AVE, LANSING, MI 48911-2248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
01/25/2014
Last updated
01/25/2014
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