Jill Lamoreaux
Psychologist in Wyoming, MI. Individual provider (NPI-1).
NPI number1659149136
StatusActive
Last updated in NPPESDec 14, 2023
Details
- NPI
- 1659149136
- Entity type
- Individual (NPI-1)
- Name
- Jill Lamoreaux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2023
- Certification date
- Dec 14, 2023
- Last updated
- Dec 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6361007874 | MI | Yes |
Practice location
1009 44th St Sw Ste 103Wyoming, MI 49509-4480
Phone 269-459-1818 · Fax 269-365-9951
Mailing address
5708 Venture Ct Ste BKalamazoo, MI 49009-2858
Phone 269-459-1818 · Fax 269-365-9951
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