Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 6301016472 | MI |
Y | 103TC0700X | Clinical Psychologist | 6301016472 | MI |
NPI | 1003287681 |
---|---|
Provider Name | Lindsay Emerson |
First Address | Monroe, MI 48161-9754 |
Second Address | Monroe, MI 48161-9754 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2015 |
Last Update Date | 08/10/2015 |