Individual
REBECCA ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
14015 WESTMORE ST, LIVONIA, MI 48154-4145
(239) 849-3145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011221
MI
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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