Individual
DR. ELIZABETH ANASTASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
950 36TH ST SW, WYOMING, MI 49509-3587
(616) 320-0405
Mailing address
950 36TH ST SW, WYOMING, MI 49509-3587
(616) 320-0405
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301019142
MI
Other
Enumeration date
09/22/2020
Last updated
03/20/2023
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