| Sara B Dupuis Phd Pc | |
|
1905 Abbot Rd Ste 1 East Lansing MI 48823-8571 | |
| (517) 944-4232 | |
| (517) 323-9531 |
| Full Name | Sara B Dupuis Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1905 Abbot Rd, East Lansing, Michigan |
| Authorized Official Name and Position | Cathy S Gallegos (MANAGER BILLING) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara B Dupuis Phd Pc 1905 Abbot Rd Ste 1 East Lansing MI 48823-8571 Ph: (517) 944-4232 | Sara B Dupuis Phd Pc 1905 Abbot Rd Ste 1 East Lansing MI 48823-8571 Ph: (517) 944-4232 |
| NPI Number | 1104254051 |
|---|---|
| Provider Enumeration Date | 10/30/2013 |
| Last Update Date | 11/19/2013 |
| Medicare PECOS PAC ID | 9537395579 |
|---|---|
| Medicare Enrollment ID | O20131120001853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104254051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301014845 (Michigan) | Primary |
| Provider Name | Sara B Dupuis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659518629 PECOS PAC ID: 7517193550 Enrollment ID: I20141006002192 |
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