Individual
LACEY MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 979-7766
Mailing address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 979-7766
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6401013089
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401013089
LICENSE #
MI
Enumeration date
11/06/2012
Last updated
11/06/2012
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