Provider Demographics
NPI:1487804084
Name:LANCIT, NORMAN EUGENE (MSW)
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:EUGENE
Last Name:LANCIT
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9051 MCKENDRY DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-8010
Mailing Address - Country:US
Mailing Address - Phone:313-779-0545
Mailing Address - Fax:734-429-7238
Practice Address - Street 1:2126 KELLY ROAD
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021
Practice Address - Country:US
Practice Address - Phone:586-771-7236
Practice Address - Fax:586-771-7142
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101YM0800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health