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

Michigan State University Clinical Center

Organization Clinical Neuropsychologist · NPI 1255629358

Michigan State University Clinical Center is a Clinical Neuropsychologist in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Specialties on file
2

Practice location Address checks out

804 Service Rd Ste A114
East Lansing, MI 48824-7038
Phone: (517) 355-7648
Fax: (517) 432-1319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 6301014684 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301006498 (MI)

Record details

NPI number1255629358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Zaldokas — Mgr Provider Enrollment · (517) 355-3503
NPI enumeratedJuly 11, 2011
Last updated in NPPESApril 13, 2012
Mailing address804 Service Rd Ste A114, East Lansing, MI 48824-7038

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