LIST PSYCHOLOGICAL SERVICES PLC NPI 1336176031

NPI Information

LIST PSYCHOLOGICAL SERVICES, PLC is a mental health (including community mental health center) clinic center in Caro, MI. LIST PSYCHOLOGICAL SERVICES, PLC NPI is 1336176031. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

443 N STATE ST
CARO, MI
ZIP 48723-539
Phone: (989) 672-6160
Fax: (989) 672-5649

The provider's authorized official is Jacqueline Thompson .
The authorized official title is Coo and has the following contact phone number (989) 672-6160.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 8/19/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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