Individual
LINDSEY L BUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3007 N ALTADENA AVE, ROYAL OAK, MI 48073-3555
(520) 241-4044
Mailing address
3007 N ALTADENA AVE, ROYAL OAK, MI 48073-3555
(520) 241-4044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018203
MI
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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