Titus, Jacqueline Mezza

Titus, Jacqueline Mezza is an individual health care provider with primary practice located at 151 Psychology Bldg Michigan State Psychological Clinic, East Lansing MI 48824-1116. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Titus, Jacqueline Mezza can be contacted via phone (517) 599-4934.

Contact Information

Primary practice address
151 Psychology Bldg Michigan State Psychological Clinic East Lansing MI 48824-1116
Phone: (517) 599-4934
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301014282 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 6301013657 Michigan

Profile Details

NPI number 1790931251
LBN Legal business name Titus, Jacqueline Mezza
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Oct 7th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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