Amelie Marie Lacoste, M.A. L.L.P.
Psychologist in Rochester, MI. Individual provider (NPI-1).
NPI number1033433859
StatusActive
Last updated in NPPESApr 28, 2023
Details
- NPI
- 1033433859
- Entity type
- Individual (NPI-1)
- Name
- Amelie Marie Lacoste
- Credential
- M.A. L.L.P.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2010
- Certification date
- Apr 28, 2023
- Last updated
- Apr 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6301014259 | MI | Yes |
Practice location
410 W University DrRochester, MI 48307-1938
Phone 248-495-9456
Mailing address
2880 Tallahassee DrRochester Hills, MI 48306-3861
Phone 248-495-9456
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