Doctor Name: | MRS. CHRISTINE ANN LERCH |
NPI Number: | 1508012766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLP |
License Number: | 6301011048 |
Business Practice Address: | 4736 E M36 Pinckney, MI - 481699383 |
Business Phone Number: | 8102319591 |
Business Fax Number: | 8102319522 |
Mailing Address: | 4736 E M36, PINCKNEY |
State: | MI |
Postal Code: | 481699383 |
Phone Number: | 8102319591 |
Fax Number: | 8102319522 |
NPI Enumeration Date: | 08/07/2008 |
NPI Last Update Date: | 08/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301011048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |