Individual
MRS. SARAH M LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
1102 MACKIN RD, FLINT, MI 48503-1204
(810) 257-3705
Mailing address
1440 TORREY RD STE E, FENTON, MI 48430-1340
(248) 821-5083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361006902
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043554348
—
MI
Enumeration date
10/25/2018
Last updated
06/19/2020
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