NPI 1003155219
Travis John Vanderlist, LMSW
Practice location
- Address
- 1500 Weiss St, Saginaw, MI 48602-5251
- Phone
- (989) 497-2500
- Fax
- (989) 321-4922
- Mailing address
- 311 Oxford Rd, East Lansing, MI 48823-2628
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1003155219
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Feb 2013
- Record last updated
- 7 Feb 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.