| Doctor Name: | DR. JUDY L TANT |
| NPI Number: | 1023092558 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 6301003225 |
| Business Practice Address: | 5020 Northwind Dr Ste 210 East Lansing, MI - 488235033 |
| Business Phone Number: | 5173514442 |
| Business Fax Number: | |
| Mailing Address: | 1990 Pinecrest Dr, EAST LANSING |
| State: | MI |
| Postal Code: | 488231350 |
| Phone Number: | 5173514442 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 07/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301003225 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |