Individual
CARRIE B GILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
409 PLYMOUTH RD STE 124, PLYMOUTH, MI 48170-4080
(734) 600-8924
(734) 201-1939
Mailing address
409 PLYMOUTH RD STE 124, PLYMOUTH, MI 48170-4080
(734) 600-8924
(734) 201-1939
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301099001
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301099001
MI
Other
Enumeration date
06/16/2011
Last updated
11/23/2020
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