Provider First Line Business Practice Location Address:
151 PSYCHOLOGY BLDG
Provider Second Line Business Practice Location Address:
MICHIGAN STATE PSYCHOLOGICAL CLINIC
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:
517-599-4934
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2008