LAKESHORE PSYCHOLOGICAL SERVICES
Mental Health at Greater Mack Ave, Saint Clair Shores, MI

License number
Michigan 6301002572
Category
Mental Health
Type
Mental Health
Owner
Name: DR. JOHN A RYAN PH.D.
Title: OWNER
Phone: (586) 777-0470
Address
Address
22811 Greater Mack Ave SUITE L-3, Saint Clair Shores, MI 48080
National Provider ID: 1508927658
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LAKESHORE PSYCHOLOGICAL SERVICES at bizstanding.com

LAKESHORE PSYCHOLOGICAL SERVICES, PC

Saint Clair Shores, MI

Status:
Inactive
Registration:
Feb 27, 1996
Addresses:
22811 Mack Ave #L3, Saint Clair Shores, MI 48080 (Physical)
Michigan (Mailing)
State ID:
373635
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2012
Agent:
John Ryan Phd

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