Individual
MS. SUSAN R WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LLP
Contact information
Practice address
8303 PLATT RD, SALINE, MI 48176-9773
(734) 295-4435
(734) 295-4898
Mailing address
1411 WAGON WHEEL RD, CANTON, MI 48188-1158
(734) 295-4435
(734) 295-4898
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008069
MI
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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