Organization
REJUVENATE PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ANN DENEWETH MA, LLP (OWNER)
(248) 937-8682
Entity
Organization
Contact information
Practice address
147 N MILFORD RD, HIGHLAND, MI 48357-4535
(248) 937-8682
Mailing address
9110 TWIN LAKES DR, WHITE LAKE, MI 48386-2099
(248) 937-8682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011668
MI
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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