Provider Demographics
NPI:1528288321
Name:HOSMER, MARGARET ANNE (PHD LLP CACI NCGCII)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:HOSMER
Suffix:
Gender:F
Credentials:PHD LLP CACI NCGCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3448 LAKE LANSING ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823
Mailing Address - Country:US
Mailing Address - Phone:517-333-4440
Mailing Address - Fax:517-333-7173
Practice Address - Street 1:3448 LAKE LANSING ROAD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823
Practice Address - Country:US
Practice Address - Phone:517-333-4440
Practice Address - Fax:517-333-7173
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301006961103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist