Individual
JUANITA K DOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17352 W 12 MILE RD, SOUTHFIELD, MI 48076
(248) 559-0730
(248) 569-7626
Mailing address
30740 IVY GLEN CT, BINGHAM FARMS, MI 48025
(248) 443-1430
(248) 569-7626
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F34599
BCBS
MI
Enumeration date
01/03/2007
Last updated
07/08/2007
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