Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michigan State University

Organization Psychologist · NPI 1164973418

Michigan State University is a Psychologist in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

909 Wilson Rd Rm B119
East Lansing, MI 48824-6410
Phone: (517) 353-3070
Fax: (517) 432-3603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (MI)
Psychologist Taxonomy 103T00000X

Record details

NPI number1164973418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Relanda Price — Lead Enrollment Coordinator · (517) 884-2976
NPI enumeratedOctober 21, 2016
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing address804 Service Rd Ste A109b, East Lansing, MI 48824-7015

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