Judy L Tant is a Clinical in East Lansing, Michigan. Judy L Tant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy L Tant is 1023092558. The last update date is 2020-01-28.
Judy L Tant's current location address is 790 W Lake Lansing Rd Ste 500, East Lansing, Michigan. You can contact this provider via phone number 5173514442. The mailing address for Judy L Tant is 790 W Lake Lansing Rd Ste 500, East Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Judy L Tant |
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Address | 790 W Lake Lansing Rd Ste 500, East Lansing, Michigan |
Phone Number | 5173514442 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PHD |
NPI Number Detail
NPI Number | 1023092558 |
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Provider Enumeration Date | 2005-11-29 |
Last Updated Date | 2020-01-28 |
Provider Mailing Address Detail
Address | 790 W Lake Lansing Rd Ste 500 |
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City | East Lansing |
State | Michigan (MI) |
Post Code | 488238505 |
Phone Number | 5173514442 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 6301003225 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
680C34568 | MI | BCBS MICHIGAN | |
1217178000 | MI | MAGELLAN BEH HEALTH MIS | |
8702 | MI | VALUE OPTIONS PROV NUMBER |
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What is the unique 10-digit identifier code assigned to Judy L Tant by the Centers for Medicare & Medicaid Services?
The Judy L Tant has been issued the NPI (National Provider Identifier) 1023092558 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Judy L Tant?
The Judy L Tant is physically situated at 790 W Lake Lansing Rd Ste 500, in the city of East Lansing, state of MI, with the postal code 488238505.
What is Judy L Tant's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Judy L Tant is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Judy L Tant receive the assignment of its 1023092558 from the Centers for Medicare & Medicaid Services?
The Judy L Tant was issued its 1023092558 by the Centers for Medicare & Medicaid Services on 2005-11-29.
When was the information regarding Judy L Tant most recently updated?
The details pertaining to the Judy L Tant, including its address, specialty, and other relevant information, were last refreshed on 2020-01-28.