Dr. M. Rousseau, Pllc

NPI 1053456525 - Psychologist - 103TC0700X

NPI Details
NPI 1053456525
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHELLE M MICHELLE
Position LICENSED PSYCHOLOGIST
Phone (810) 434-6280
Fax
Practice Location
732 HOLLAND AVE
PORT HURON MI, 48060-1512, US
Phone (810) 434-6280
Fax
Business Location
3560 PINE GROVE AVE # 613
PORT HURON MI, 48060-1994, US
Phone (810) 956-4389
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Michigan
License Number 6301012660
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According to our database, Dr. M. Rousseau, Pllc NPI is 1053456525, taxonomy code is 103TC0700X and license number is 6301012660, license state is located at Michigan. Dr. M. Rousseau, Pllc physically located at 732 Holland Ave, Port Huron MI, 48060-1512. NPI Number 1033115704 has the healthcare provider type.

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1053456525 NPI number is provided on an as is basis without warranty of any kind. 1053456525 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. M. Rousseau, Pllc are for informational purposes only.