Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6401013405 | MI |
Y | 103T00000X | Psychologist | 6401013405 | MI |
NPI | 1003151523 |
---|---|
Provider Name | Ms. Elizabeth Mcgee |
First Address | Sturgis, MI 49091-9431 |
Second Address | Sturgis, MI 49091-9431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2012 |
Last Update Date | 10/12/2012 |