Provider Demographics
NPI:1407223498
Name:AUPPERLEE, JANA LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:LYNN
Last Name:AUPPERLEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 PHYSICS RD
Mailing Address - Street 2:151 PSYCHOLOGY BUILDING
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-5604
Mailing Address - Country:US
Mailing Address - Phone:517-355-9564
Mailing Address - Fax:
Practice Address - Street 1:316 PHYSICS RD
Practice Address - Street 2:151 PSYCHOLOGY BUILDING
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48824-5604
Practice Address - Country:US
Practice Address - Phone:517-355-9564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015587103TC2200X, 103T00000X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool