Individual
DR. ELIZABETH ANN WAIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1749 HAMILTON RD STE 102B, OKEMOS, MI 48864-1941
(517) 336-9930
Mailing address
1749 HAMILTON RD STE 102B, OKEMOS, MI 48864-1941
(517) 336-9930
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005767
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C347200
BLUECROSS BLUE SHIELD
MI
Enumeration date
01/30/2006
Last updated
10/11/2024
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