Individual
DR. PHYLLIS M. FLORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1409 CHEROKEE ST, KALAMAZOO, MI 49006-2015
(269) 352-7922
Mailing address
1409 CHEROKEE ST, KALAMAZOO, MI 49006-2015
(269) 352-7922
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
6301016014
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301012839
MICHIGAN STATE DEPT. OF LICENSING AND REGULATORY AFFAIRS
MI
01
—
6301016014
DOCTORAL LICENSE IN PSYCHOLOGY
MI
Enumeration date
04/26/2007
Last updated
05/27/2021
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