Individual
LAMAR P HABERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LLP, CCCBT, CBIS
Contact information
Practice address
5570 WHITTAKER RD, YPSILANTI, MI 48197-9752
(734) 417-1739
Mailing address
271 HENRY ST APT 104, BELLEVILLE, MI 48111-2962
(734) 678-0249
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361002193
MI
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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