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General NPI Number Information
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NPI Number | 1538582671
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Entity Type | Organization
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Legal Business Name | LAURA ANN WYGLINSKI, PH. D.
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Dates
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Enumeration Date | 01/25/2014
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Last Update Date | 01/25/2014
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Provider Practice Location Address
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Address Line | 4675 OKEMOS RD
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City | OKEMOS
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State | MI
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Zip | 48864-1974
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Country | US
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Telephone | 517-483-3081
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 WAINWRIGHT AVE
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City | LANSING
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State | MI
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Zip | 48911-2248
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST LLP
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Name | DR. LAURA ANN WYGLINSKI
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Credential |
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Telephone | 517-483-3081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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