Individual
DR. RAZIA R SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2311 E STADIUM BLVD, SUITE 109, ANN ARBOR, MI 48104-4833
(734) 216-1215
Mailing address
5414 WALDENHILL CT, YPSILANTI, MI 48198-9654
(734) 216-1289
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013966
MI
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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