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MICHIGAN STATE UNIVERSITY PSYCHOLOGICAL CLINIC NPI 1134341399


NPI Information

NPI: 1134341399
Provider Name: MICHIGAN STATE UNIVERSITY PSYCHOLOGICAL CLINIC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
MICHIGAN STATE UNIVERSITY PSYCHOLOGICAL CLINIC
151 PSYCHOLOGY BUILDING
EAST LANSING, MI
ZIP 48824
Phone: (517) 355-9564
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MICHIGAN STATE UNIVERSITY PSYCHOLOGICAL CLINIC is a mental health (including community mental health center) clinic center in East Lansing, MI. MICHIGAN STATE UNIVERSITY PSYCHOLOGICAL CLINIC NPI is 1134341399. The provider is registered as an organization entity type.

The provider's business location address is:

MICHIGAN STATE UNIVERSITY PSYCHOLOGICAL CLINIC
151 PSYCHOLOGY BUILDING
EAST LANSING, MI
ZIP 48824-116
Phone: (517) 355-9564
Fax: (517) 353-5437

The provider's authorized official is Daniel Eli Greenberg .
The authorized official title is Director and has the following contact phone number (517) 355-9564.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)6301007903MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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