| Jennifer Wallace, | |
|
4226 Green Lake Rd, West Bloomfield, MI 48323-1139 | |
| (248) 404-5616 | |
| Not Available |
| Full Name | Jennifer Wallace |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 4226 Green Lake Rd, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295083897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301014813 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Wallace, 4226 Green Lake Rd, West Bloomfield, MI 48323-1139 Ph: (248) 404-5616 | Jennifer Wallace, 4226 Green Lake Rd, West Bloomfield, MI 48323-1139 Ph: (248) 404-5616 |
Ms. Karen Bango, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2654 Fax: 248-592-2660 | |
Daniel Simmons, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 Fax: 248-592-2340 | |
Emma Fay Kelly, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7035 Orchard Lake Rd Ste 800, West Bloomfield, MI 48322 Phone: 248-669-9500 | |
Mrs. Joan Frances Lazar, MA, LLP, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6024 W Maple Rd, Suite 107, West Bloomfield, MI 48322 Phone: 248-489-1550 Fax: 248-489-9767 | |
Dr. Katherine Ann Young, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1943 Windside, West Bloomfield, MI 48324 Phone: 248-681-5829 | |
Kimberly Elizabeth Vanderby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5757 W Maple Rd Ste 800b, West Bloomfield, MI 48322 Phone: 586-574-5845 | |
Dr. Alicia Ellen Tisdale, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5665 W Maple Rd, Suite A, West Bloomfield, MI 48322 Phone: 248-626-8833 Fax: 248-626-8836 |