Organization
EAST LANSING PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN HATHAWAY LLP (OWNER)
(517) 420-1377
Entity
Organization
Contact information
Practice address
121 BURCHAM DR, EAST LANSING, MI 48823-2703
(517) 420-1377
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009001
MI
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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