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Organization
ELIZABETH A. WAITES, PSYCHOLOGIST P. C.
Active
Organization
ELIZABETH A. WAITES, PSYCHOLOGIST P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANGELINE WAITES PH.D. (LICENSED PSYCHOLOGIST)
(734) 662-7312
Entity
Organization
Contact information
Practice address
2002 HOGBACK RD STE 15, ANN ARBOR, MI 48105-9736
(734) 662-7312
Mailing address
1075 BARTON DR APT 114, ANN ARBOR, MI 48105-1260
(734) 662-7312
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6301001241
MI
Other
Enumeration date
05/02/2007
Last updated
12/06/2011
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