Individual
CAITLYN THELEN BISCHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
24715 LITTLE MACK AVE STE 200, SAINT CLAIR SHORES, MI 48080-3207
(844) 232-8590
Mailing address
24715 LITTLE MACK AVE STE 200, SAINT CLAIR SHORES, MI 48080-3207
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301019587
MI
103TC0700X
Clinical Psychologist
Primary
6301019587
MI
Other
Enumeration date
10/31/2024
Last updated
12/19/2024
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