IndividualActive
Laresa Green
NPI 1841034295 · Health Service Psychologist · Ecorse, MI
Provider details
- NPI number
- 1841034295
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4317 11th St
Ecorse, MI 48229-1162
Phone: (313) 520-5311
Approximate (ZIP-level) locationGet directions
Mailing address
4317 11th St
Ecorse, MI 48229-1162
Registry dates
- Enumerated
- 2024-06-20
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.