Individual
TOBY R KELLK-HAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
26789 WOODWARD AVE STE 209, HUNTINGTON WOODS, MI 48070-1334
(248) 629-0079
Mailing address
26789 WOODWARD AVE STE 209, HUNTINGTON WOODS, MI 48070-1334
(248) 629-0079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810004689
VA
103TC0700X
Clinical Psychologist
Primary
6301016736
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447279658
—
VA
Enumeration date
01/16/2013
Last updated
04/08/2022
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