Individual
MS. JUDITH CANVASSER REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP, LPC, MA
Contact information
Practice address
441 S LIVERNOIS RD, ROCHESTER HILLS, MI 48307-2584
(248) 608-8800
(248) 608-2490
Mailing address
35315 REGENCY LN, FARMINGTON HILLS, MI 48331-1453
(248) 661-5148
(248) 608-2490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401008645
PROFRESSIONAL COUNSELOR L
MI
Enumeration date
03/07/2007
Last updated
07/08/2007
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