Provider Demographics
NPI:1386600971
Name:OXER, EDWARD (PHD/LICENSED PSYCH)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:OXER
Suffix:
Gender:M
Credentials:PHD/LICENSED PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1968 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-1355
Mailing Address - Country:US
Mailing Address - Phone:517-337-1222
Mailing Address - Fax:
Practice Address - Street 1:1968 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-1355
Practice Address - Country:US
Practice Address - Phone:517-337-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301002804103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist