Individual provider · Type 1 NPI

Nickolas Bushon, M.A., TLLP

Psychologist · Owosso, MI

NPI number 1245603703 Active

Practice location

1555 Industrial Dr
Owosso, MI 48867-9775

Call (989) 723-6791 Map

Fax (989) 725-5061

Mailing address

PO Box 428
Owosso, MI 48867-0428

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301016436 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1245603703

Nickolas Bushon, M.A., TLLP's National Provider Identifier is 1245603703, issued on Nov 5, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Owosso, MI. The record was last updated on Nov 5, 2015.