Individual
LISA M VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 796-7100
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 796-7100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY 60460149
WA
103TC0700X
Clinical Psychologist
Primary
6301017730
MI
Other
Enumeration date
05/09/2012
Last updated
12/18/2019
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