Individual
LISA MICHELLE IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D
Contact information
Practice address
52188 VAN DYKE AVE, SUITE 320, SHELBY TOWNSHIP, MI 48316-3567
(586) 323-0176
(586) 254-7776
Mailing address
53298 HUNTERS CROSSING DR, SHELBY TOWNSHIP, MI 48315-2087
(586) 677-0722
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008401
MI
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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