Individual
JYOTI RATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LLP
Contact information
Practice address
1455 S LAPEER RD STE 175N, LAKE ORION, MI 48360-1467
(248) 393-5555
Mailing address
1455 S LAPEER RD STE 175N, LAKE ORION, MI 48360-1467
(248) 393-5555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6351004572
MI
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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