DR. LAURIE A LUNDBLAD (NPI# 1477893220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477893220 |
| Entity Type | Individual |
| Full Name | DR. LAURIE A LUNDBLAD |
| Credential | PSYD |
| Practice Address |
9357 General Dr Suite 101 Plymouth MI 48170-4662 |
| Practice Telephone | 7344540866 |
| Practice Fax Number | 7344541744 |
| Mailing Telephone | 7344540866 |
| Mailing Fax Number | 7344541744 |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301013693 | MI | Behavioral Health & Social Service Providers |
| Street Address |
9357 GENERAL DR SUITE 101 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-4662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891856605 | Jennifer Marilyn Francis | Psychologist | 9357 General Dr, Ste. 101, Plymouth, MI 48170-4662 | 2006-12-13 |
| 1316308208 | Brenda Soverinsky | Speech-Language Pathologist | 9357 General Dr, Plymouth, MI 48170-4662 | 2016-03-18 |
| 1760843296 | Tamara Watson Nordbeck | Physical Therapist | 9357 General Dr, Suite 100, Plymouth, MI 48170-4662 | 2016-03-10 |
| 1407216930 | Rima Giedraitis | Speech-Language Pathologist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2016-02-25 |
| 1578922480 | Mariam Zaiat | Occupational Therapist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2016-02-19 |
| 1164881389 | Jennifer Lee Terpstra | Occupational Therapist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2016-02-16 |
| 1710373097 | Joshua Madding | Speech-Language Pathologist | 9357 General Dr, #101, Plymouth, MI 48170-4662 | 2015-04-13 |
| 1205230497 | Deborah C Kay | Occupational Therapist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2014-10-16 |
| 1891198115 | Jean Marie Walsh | Speech-Language Pathologist | 9357 General Dr, Plymouth, MI 48170-4662 | 2014-10-01 |
| 1942603485 | Chelsea Hazen | Speech-Language Pathologist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2014-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902050073 | Katherine M Newton | Psychologist | 3300 Fernbrook Ln N, Suite 120, Plymouth, MN 55447-5338 | 2008-11-15 |
| 1013166578 | Steven J Ceresnie Phd PC | Psychologist | 199 N Main St, Plymouth, MI 48170-1272 | 2008-09-09 |
| 1942475348 | Steven J. Ceresnie | Psychologist | 199 N Main St, Suite 202, Plymouth, MI 48170-1272 | 2008-04-25 |
| 1487729224 | William Gray | Psychologist | 1308 S Main St, Plymouth, MI 48170-2253 | 2006-11-21 |
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| 1770184251 | Think To Thrive Psychological Services Pllc | Psychologist | 16250 Northland Dr Ste 204b, Southfield, MI 48075-5205 | 2020-11-03 |
| 1407490006 | Oakland Integrated Healthcare Network | Psychologist | 3825 W Walton Blvd, Room B, Waterford, MI 48329-4270 | 2019-11-06 |
| 1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
| 1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
| 1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
| 1558913160 | Anna Snyder | Psychologist | 9223 Sandhill Ct, Saline, MI 48176-9440 | 2019-07-13 |
| 1467965418 | Jeffrey William Thompson | Psychologist | 167 Leota Blvd, Waterford, MI 48327-3631 | 2017-11-13 |
| 1578074621 | Joshua Dale Brewer | Psychologist | 206 W Michigan Ave, Oscoda, MI 48750-1413 | 2017-10-17 |
| 1235655614 | Ramzi Hasson | Psychologist | 21600 Novi Rd # 800, Novi, MI 48375-5605 | 2017-08-17 |
| 1588184832 | Allison Vercellone Hayhoe | Psychologist | 31700 W 12 Mile Rd Ste 100&250, Farmington Hills, MI 48334-4424 | 2017-06-27 |
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| 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.