Individual
DR. JOY WOLFE ENSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2395 OAK VALLEY DR, SUITE 100, ANN ARBOR, MI 48103-8943
(734) 995-5181
(734) 995-9011
Mailing address
2395 OAK VALLEY DR, SUITE 100, ANN ARBOR, MI 48103-8943
(734) 995-5181
(734) 995-9011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301003018
MI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301003018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0-H1-1769-0
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
09/20/2007
Last updated
11/19/2008
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