LUCETRY DALTON


Address: G3230 Beecher Rd, Flint, MI 48532-3604
Phone: 8103425656

LUCETRY DALTON (NPI# 1124554159) 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) 1124554159
Entity Type Individual
Full Name LUCETRY DALTON
Credential PSY.D.
Practice Address G3230 Beecher Rd
Flint
MI 48532-3604
Mailing Address 134 Leffler Dr
Johnstown
PA 15904-1252
Practice Telephone 8103425656
Mailing Telephone 2484213524
Enumeration Date 2017-05-11
Last Update Date 2017-05-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address G3230 BEECHER RD
City FLINT
State MI
Zip Code 48532-3604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679555650 Erin Elizabeth Foster Psychologist G3230 Beecher Rd, Flint, MI 48532-3615 2005-11-16
1699225607 Shena Johnson Student in an Organized Health Care Education/Training Program G3230 Beecher Rd, Flint, MI 48532-3604 2016-10-13
1215384177 Jennifer Carty Mcintosh Psychologist G3230 Beecher Rd, Flint, MI 48532 2016-05-20
1215311360 Navneet Randhawa Family Medicine G3230 Beecher Rd, Flint, MI 48532-3604 2015-07-17
1780067660 Magdalene Gyuricska Family Medicine G3230 Beecher Rd, Flint, MI 48532-3604 2015-07-09
1184007072 Siddharth Vannemreddy Family Medicine G3230 Beecher Rd, Flint, MI 48532-3604 2015-07-09
1932515657 Aaren Grigg Family Medicine G3230 Beecher Rd, Suite 1, Flint, MI 48532-3604 2014-07-02
1740695998 Bharath Jakka Internal Medicine G3230 Beecher Rd, Suite 2, Flint, MI 48532-3604 2014-06-26
1912312182 Shikha Mishra Internal Medicine G3230 Beecher Rd, Suite 2, Flint, MI 48532-3604 2014-06-26
1699180844 Phani Akella Internal Medicine G3230 Beecher Rd, Suite 2, Flint, MI 48532-3604 2014-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524859 Amber Marie Lee Physician Assistant 2265 South Lindenroad, Suite A, Flint, MI 48532 2020-09-25
1639709496 Tammara Kamei Counselor 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 2020-01-21
1306481882 Christine Rice Case Manager/Care Coordinator 3169 Beecher Road, Flint, MI 48532 2019-11-08
1780154336 Sarah Marie Shaw Case Manager/Care Coordinator 2091 Professional Drive, Flint, MI 48532 2018-11-27
1215412093 Adria D Haynes Social Worker G-4413 Corunna Rd., Flint, MI 48532 2018-09-27
1689159378 Vip Smiles Dentistry, Pllc Dentist 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 2018-09-27
1942794797 Premier Eye Specialists Pllc Ophthalmology 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 2018-06-15
1720587710 Cassandra Socia Dental Hygienist G3222 Beecher Road, Flint, MI 48532 2018-02-06
1235660291 Ashley L Boltjes Massage Therapist 3277 Beecher Rd, Flint, MI 48532 2017-03-22
1497202774 Tyneshia Mcfarland Home Health 2104 Ridgecliffe Dr, Flint, MI 48532 2016-09-05
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760984348 Melissa Dawn Hoffman Psychologist 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 2018-02-28
1114358900 Katie Lynn Bowers Psychologist 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 2013-12-05
1851730329 Teresa Marie Lukasavitz Psychologist 1063 Professional Dr # D4, Flint, MI 48532-3636 2013-06-18
1821115049 Jodi Cavanaugh Psychologist 420 W. 5th Avenue, Flint, MI 48503 2007-03-23
1902981699 William Dawson Daniels Psychologist G-4511 Miller Rd, Flint, MI 48507 2006-10-25
1043245533 Jamail Psychological Clinic PC Psychologist 1114 Beach St, Flint, MI 48502-1407 2006-07-12
1700868288 Christopher John Danko Psychologist 5710 Clio Rd, Flint, MI 48504-1524 2005-11-18
1124634639 June Nguyen Westdal Psychologist 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 2020-09-20
1932714615 Jason Mark Scimemi Psychologist 1309 S Linden Rd Ste C, Flint, MI 48532-3443 2020-09-10
1306490370 Premier Thinking Mental Health Services, LLC Psychologist 4058 N Linden Rd Ste H, Flint, MI 48504-1381 2019-07-29
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Competitor

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City FLINT
Zip Code 48532

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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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