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Patricia Shull-blood, LLP
Psychologist in Portage, Michigan
NPI 1033169008

Patricia Shull-blood is a Psychologist based in Portage, MI. Patricia Shull-blood practices in Portage, MI and has the professional credentials of LLP. The NPI Number for Patricia Shull-blood is 1033169008 and holds a License No. 6301010066 (Michigan).

The current practice location address for Patricia Shull-blood is 5148 Lovers Ln, Portage, MI and can be reached out via phone at 269-343-3010 and via fax at 269-343-3017.

Location: 5148 Lovers Ln, Portage, MI, 49002-1572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033169008
Provider Name
Patricia Shull-blood
Credential
LLP
Provider Entity Type
Individual
Gender
Female
Address
5148 Lovers Ln, Portage, MI, 49002-1572
Phone Number
269-343-3010
Fax Number
269-343-3017
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P108918030 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
5148 Lovers Ln
City
Portage
State
Michigan
Zip
49002-1572
Phone Number
269-343-3010
Fax Number
269-343-3017
person
Provider Business Mailing Address Details
Address
5148 Lovers Ln
City
Portage
State
Michigan
Zip
49002-1572
Phone Number
269-343-3010
Fax Number
269-343-3017
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
6301010066 (Michigan)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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