Lakeshore Psychological Services

LBN: Lakeshore Psychological Services
Lakeshore Psychological Services is an health care organization with primary practice located at 22811 Greater Mack Ave Suite L-3, Saint Clair Shores MI 48080-2021. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Lakeshore Psychological Services can be contacted via phone (586) 777-0470, or through Ryan, John A via phone (586) 777-0470.

Contact Information

Primary practice address
22811 Greater Mack Ave Suite L-3 Saint Clair Shores MI 48080-2021
Phone: (586) 777-0470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ryan, John A PH.D.
Phone: (586) 777-0470

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6301002572 Michigan

Profile Details

NPI number 1508927658
LBN Legal business name Lakeshore Psychological Services
DBA Doing business as
Authorized official Ryan, John A PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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