Individual provider · Type 1 NPI

Lisa Marie Provost, MA, LLP

Clinical Psychologist · Flint, MI

NPI number 1861575508 Active

Practice location

2360 S Linden Rd, Suite 300
Flint, MI 48532-5420

Call (810) 732-0560 Map

Fax (810) 732-6351

Mailing address

2420 Darwin Ln
Saginaw, MI 48603-3456

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301010883 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1861575508

Lisa Marie Provost, MA, LLP's National Provider Identifier is 1861575508, issued on Oct 24, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Flint, MI. The record was last updated on Jul 8, 2007.