Organization
RICHLAND PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA KIMBERLY LARGO-MARSH PH.D. (LICENSED PSYCHOLOGIST/MEMBER OWNER)
(269) 629-2207
Entity
Organization
Contact information
Practice address
9037 E D AVE, RICHLAND, MI 49083-9454
(269) 629-2207
(269) 731-2881
Mailing address
9037 E D AVE, PO BOX 253, RICHLAND, MI 49083-9454
(269) 629-2207
(269) 731-2881
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008181
MI
Other
Enumeration date
01/31/2015
Last updated
11/02/2015
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