Organization
LAZARUSMAN CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CEDRIC H SCOTT LLP (OWNER)
(231) 747-6197
Entity
Organization
Contact information
Practice address
2416 PECK ST, MUSKEGON HTS, MI 49444-1431
(231) 747-6197
Mailing address
2416 PECK ST, MUSKEGON HTS, MI 49444-1431
(231) 747-6197
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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