Provider Demographics
NPI:1497377188
Name:LOIS MICHAUD, PH.D.
Entity Type:Organization
Organization Name:LOIS MICHAUD, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:MICHAUD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:541-246-8661
Mailing Address - Street 1:570 LAWRENCE ST STE 106
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2586
Mailing Address - Country:US
Mailing Address - Phone:541-246-8661
Mailing Address - Fax:
Practice Address - Street 1:570 LAWRENCE ST STE 106
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2586
Practice Address - Country:US
Practice Address - Phone:541-246-8661
Practice Address - Fax:541-359-1564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty