Diane List, PHD, LP

NPI #1215987565 in Caro, Michigan

Provider Information

NPI Number
1215987565
Entity Type
Individual
Name
Diane List, PHD, LP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PHD, LP
Enumeration Date
May 10, 2006
Last Updated
Oct 30, 2007

Practice Location

Address
443 N STATE ST
City
Caro
ZIP Code
48723-1539
Phone
(989) 673-5700

Specialties & Taxonomy Codes

Specialty
Psychologist

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