Individual
DR. SCOTT T. LUPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
5380 HOLIDAY TERRACE SUITE 25, KALAMAZOO, MI 49009-2128
(269) 353-8680
Mailing address
5380 HOLIDAY TERRACE SUITE 25, KALAMAZOO, MI 49009-2128
(269) 353-8680
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68OC94577
BCBSM
MI
Enumeration date
01/09/2007
Last updated
08/16/2016
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