John A. Braccio, Ph.d., L.l.c.
NPI #1164885612 in East Lansing, Michigan
Provider Information
- NPI Number
- 1164885612
- Entity Type
- Organization
- Organization Name
- John A. Braccio, Ph.d., L.l.c.
- Primary Specialty
- Psychologist
- Enumeration Date
- Apr 1, 2016
- Last Updated
- Apr 1, 2016
Practice Location
- Address
- 1401 E LANSING DR STE 111
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-2992
- Phone
- (517) 332-0153
Authorized Official
- Name
- DR. JOHN A. BRACCIO, PH.D.
- Title
- OWNER
- Phone
- (517) 332-0153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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