Organization
CHERYL LYNN PODOLSKI PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL LYNN PODOLSKI PH.D. (PSYCHOLOGIST)
(248) 974-6449
Entity
Organization
Contact information
Practice address
339 N CENTER ST, NORTHVILLE, MI 48167-1288
(248) 974-6449
Mailing address
313 ELY DR S, NORTHVILLE, MI 48167-2729
(248) 974-6449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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