Organization
PSYCH SERVICES, LTD
Active
Other names
Neuropsychological Services of Lansing
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD C COOK PHD (DOCTOR/ PRIMARY OFFICER)
(517) 853-1925
Entity
Organization
Contact information
Practice address
2132 CEDAR ST STE 2, HOLT, MI 48842-1458
(517) 853-1925
(517) 853-1926
Mailing address
809 CENTER STREET, SUITE 8A, LANSING, MI 48906
(517) 853-1925
(517) 853-1926
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301005619
MI
103G00000X
Clinical Neuropsychologist
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036126
VALUE OPTIONS
—
01
—
680C346730
BC BS
MI
01
—
OC31120
BC BS GROUP
MI
Enumeration date
04/03/2006
Last updated
11/12/2024
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