Individual
DR. KATHARINE THAKKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
316 PHYSICS RD, ROOM 151, EAST LANSING, MI 48824-5604
(517) 355-9564
Mailing address
640 WILDWOOD DR, EAST LANSING, MI 48823-3271
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016420
MI
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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