Joe Mcgregor Michaelson

NPI 1043358633 - Psychologist - 103T00000X

NPI Details
NPI 1043358633
Gender Male
Enumeration Date 02/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10377 BLUFF ST
BANNING CA, 92220-1572, US
Phone (909) 633-1572
Fax
Business Location
10377 BLUFF ST
BANNING CA, 92220-1572, US
Phone (909) 633-1572
Fax
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY15037
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According to our database, Dr. Joe Mcgregor Michaelson NPI is 1043358633, taxonomy code is 103T00000X and license number is PSY15037, license state is located at California. Joe Mcgregor Michaelson physically located at 10377 Bluff St, Banning CA, 92220-1572. NPI Number Joe Mcgregor Michaelson has the Individual type.

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1043358633 NPI number is provided on an as is basis without warranty of any kind. 1043358633 is maintained by the National Plan & Provider Enumeration System. The contents of Joe Mcgregor Michaelson are for informational purposes only.