| Doctor Name: | MRS. JOAN FRANCES LAZAR |
| NPI Number: | 1043267040 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLP, LPC |
| License Number: | 6301008586 |
| Business Practice Address: | 6024 W Maple Rd Suite 107 West Bloomfield, MI - 483224405 |
| Business Phone Number: | 2484891550 |
| Business Fax Number: | 2484899767 |
| Mailing Address: | 6024 W Maple Rd, Suite 107 WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483224405 |
| Phone Number: | 2484891550 |
| Fax Number: | 2484899767 |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 12/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 6301008586 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |