Michigan State University Clinical Center
Michigan State University Clinical Center provides Clinical Neuropsychologist services in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2011.
- Licensed in
- MI
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
804 Service Rd Ste A114East Lansing, MI 48824-7038 Not confirmed with CMS for 14 years — call before visiting
Phone: (517) 355-7648
Fax: (517) 432-1319
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neuropsychologist (primary) | Taxonomy 103G00000X · Licence 6301014684 (MI) |
|---|---|
| Psychologist | Taxonomy 103T00000X · Licence 6301006498 (MI) |
Record details
| NPI number | 1255629358 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cynthia Zaldokas — Mgr Provider Enrollment · (517) 355-3503 |
| NPI enumerated | July 11, 2011 |
| Last updated in NPPES | April 13, 2012 |
| Mailing address | 804 Service Rd Ste A114, East Lansing, MI 48824-7038 |
Other providers in East Lansing
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Hope Spectrum Health Cc
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-
Jennifer L. Huffman, PHD
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Huffman Psychology, PLLC
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