Provider First Line Business Practice Location Address:
MICHIGAN STATE UNIVERSITY PSYCHOLOGICAL CLINIC
Provider Second Line Business Practice Location Address:
151 PSYCHOLOGY BUILDING
Provider Business Practice Location Address City Name:
EAST LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48824-1116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-355-9564
Provider Business Practice Location Address Fax Number:
517-353-5437
Provider Enumeration Date:
05/03/2007