Individual
TALYSHA NICOLE OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,TLLP
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-3831
Mailing address
4535 GRAYTON ST, DETROIT, MI 48224-4009
(313) 257-4840
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009440
MI
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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