Individual
HAILEY PENZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., TLLP
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
43511 LANCELOT DR, CANTON, MI 48188-4803
(313) 550-0586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016362
MI
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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