NPI 1245603703

Nickolas Bushon, MATLLP

Practitioner Psychologist Owosso, MI

Practice location

Address: 1555 Industrial Dr, Owosso, MI 48867-9775
Phone: (989) 723-6791
Fax: (989) 725-5061
Mailing address: PO Box 428, Owosso, MI 48867-0428

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 6301016436 (MI)

Other Psychologist providers in Michigan →

Registry record

NPI: 1245603703
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2015
Record last updated: 5 Nov 2015

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.