JONATHAN MATTHEW BLAIR

LANSING, MI
NPI1285940064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MI  6301014658)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-08-31
Last Update Date2011-12-28
Business Address
DR. JONATHAN MATTHEW BLAIR PH.D.
5123 W ST JOE HWY SUITE 103
LANSING, MI 48917-4093
Phone number: 517-323-4099
Mailing Address
DR. JONATHAN MATTHEW BLAIR PH.D.
5123 W ST JOE HWY SUITE 103
LANSING, MI 48917-4093
Phone number: 517-323-4099