Individual
DR. LISA A MEDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
440 MADISON ST, GROSSE POINTE FARMS, MI 48236-3209
(248) 854-9573
Mailing address
440 MADISON ST, GROSSE POINTE FARMS, MI 48236-3209
(248) 854-9573
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
63010007759
MI
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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