Most Relevant Information
Provider Data
| NPI Number: | 1003443177 |
| Provider Name: | LARA N COUGHLIN PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 6301018188 |
Most Important Dates
| Enumeration Date: | 03/26/2020 |
| Last Updated: | 06/15/2020 |
Provider Practice Location
4250 PLYMOUTH RD
ANN ARBOR
MI
481092700
Practice Location Phone/Fax
| Phone: | 7347646443 |
| Fax: |
Provider Mailing Location
3621 S STATE ST
ANN ARBOR
MI
481081633
Provider Mailing Phone/Fax
| Phone: | 7346475299 |
| Fax: |