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33150 Schoolcraft Rd Ste 104 Livonia MI 48150-1646 | |
| (248) 220-7199 | |
| (248) 220-7190 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 33150 Schoolcraft Rd Ste 104, Livonia, Michigan |
| Authorized Official Name and Position | Amanda Kopp (OWNER) |
| Authorized Official Contact | 2482966579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
38221 Plymouth Rd # 10 Livonia MI 48150-1051 Ph: (248) 296-6579 | 33150 Schoolcraft Rd Ste 104 Livonia MI 48150-1646 Ph: (248) 220-7199 |
| NPI Number | 1356184626 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 01/01/2025 |
| Certification Date | 01/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356184626 | NPI | - | NPPES |
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