Organization Name: | LIST PSYCHOLOGICAL SERVICES, PLC |
NPI Number: | 1942581285 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE THOMPSON (COO) |
Mailing Address: | 7484 W Michigan Ave Suite C Pigeon |
State: | MI US |
Postal Code: | 487555200 |
Phone Number: | 9894533051 |
Fax Number: | 9894533052 |
NPI Enumeration Date: | 08/31/2011 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |