Individual
DR. DIANE M. GARTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5340 PLYMOUTH RD, SUITE 209, ANN ARBOR, MI 48105-9341
(734) 302-0309
Mailing address
3087 PROMENADE CIR, ANN ARBOR, MI 48108-1559
(734) 302-0309
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007041
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680H113080
BCBSM
MI
Enumeration date
01/01/2007
Last updated
10/31/2014
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