Organization
PSYCHOLOGICAL ASSESSMENT & COUNSELINGSPECIALISTS OF SOUTH CENTRAL MICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN TALBOT PHD (SOLE MEMBER)
(517) 677-9224
Entity
Organization
Contact information
Practice address
28 W CHICAGO ST, SUITE 3G, COLDWATER, MI 49036-1677
(517) 677-9224
Mailing address
1131 N OSSEO RD, HILLSDALE, MI 49242-9714
(517) 523-3695
(517) 523-3311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015040
MI
103TF0200X
Forensic Psychologist
6301015040
MI
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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