TALITHA P EASTERLY


Address: 302 South Waverly, Suite 1, Lansing, MI 48917
Phone: 5173215900

TALITHA P EASTERLY (NPI# 1326332396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326332396
Entity Type Individual
Full Name TALITHA P EASTERLY
Credential PH.D
Practice Address 302 South Waverly
Suite 1
Lansing
MI 48917
Practice Telephone 5173215900
Practice Fax Number 5173215945
Mailing Telephone 5173215900
Mailing Fax Number 5173215945
Enumeration Date 2011-06-07
Last Update Date 2011-06-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6301014347 MI Behavioral Health & Social Service Providers

Office Location

Street Address 302 SOUTH WAVERLY
SUITE 1
City LANSING
State MI
Zip Code 48917

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1215367149 Thomas Ball Pharmacist 5125 W Saginaw, Lansing, MI 48917 2013-11-13
1144658659 Eaton Care Center, LLC Skilled Nursing Facility 12200 Broadbent, Lansing, MI 48917 2013-10-18
1154768596 Casey Stokes Physical Therapist 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 2013-05-24
1164774659 Bona Birki Gada Pharmacist 2410 W. Willow St, Apt A203, Lansing, MI 48917 2012-10-08
1497037584 Fms Lansing, LLC Clinic/Center 916 Mall Drive East, Suite 100, Lansing, MI 48917 2011-09-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932500030 Sarah Elizabeth Westcot Psychologist 801 S Waverly Rd Ste 204, Lansing, MI 48917-4200 2014-09-08
1285942672 Judy L. Isaac Psychologist 33 Myers Rd, Lansing, NY 14882-9024 2010-09-20
1568794329 Nicole Lynn Gilbertson Psychologist 3960 Patient Care Way Ste 104, Ste 104, Lansing, MI 48911-4276 2010-02-04
1851456396 Lynn Marshall Darling Psychologist 6630 Centurion Dr, Ste 150, Lansing, MI 48917-8276 2006-12-26
1104929066 David Arthur Harley Psychologist 1720 Willow Creek Dr, Lansing, MI 48917-8848 2006-09-06
1417374109 Tabitha Mpamira Psychologist 812 E Jolly Rd, Lansing, MI 48910-6818 2014-03-20
1699116228 Katherine Dawn Gimmestad Psychologist 2025 S Washington Ave, Lansing, MI 48910-0828 2013-07-11
1154764827 Jonathan M. Blair Phd, Pllc Psychologist 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 2013-04-12
1245547439 Amy Lynn Hines Psychologist 5303 S Cedar St, Building 2, Lansing, MI 48911-3800 2010-09-09
1285940064 Jonathan Matthew Blair Psychologist 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 2010-08-31
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Competitor

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City LANSING
Zip Code 48917

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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