Lisa A Medoff in Grosse Pointe Farms - Psychologist

Lisa A Medoff - NPI 1629008420

Lisa A Medoff is a Psychologist in Grosse Pointe Farms, Michigan. Lisa A Medoff practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lisa A Medoff is 1629008420. The last update date is 2007-07-08.

Lisa A Medoff's current location address is 440 Madison St, Grosse Pointe Farms, Michigan. You can contact this provider via phone number 2488549573. The mailing address for Lisa A Medoff is 440 Madison St, Grosse Pointe Farms, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa A Medoff
Address 440 Madison St, Grosse Pointe Farms, Michigan
Phone Number 2488549573
Fax Number
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1629008420
Provider Enumeration Date 2006-07-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 440 Madison St
City Grosse Pointe Farms
State Michigan (MI)
Post Code 482363209
Phone Number 2488549573
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 63010007759
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Lisa A Medoff

What is the unique provider identifier assigned to Lisa A Medoff?

The Lisa A Medoff has been issued the NPI (National Provider Identifier) 1629008420 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Lisa A Medoff's facilities are situated?

The facilities of Lisa A Medoff are physically located at the following address: 440 Madison St, Grosse Pointe Farms, MI, 482363209.

What is Lisa A Medoff's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lisa A Medoff is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date did the Lisa A Medoff receive the assignment of its 1629008420 from the Centers for Medicare & Medicaid Services?

The Lisa A Medoff was issued its 1629008420 by the Centers for Medicare & Medicaid Services on 2006-07-04.

As of what date was the information regarding Lisa A Medoff, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lisa A Medoff, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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