Individual
ALEXANDRIA YANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19275 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 785-7716
Mailing address
26510 WILLOW CV, WOODHAVEN, MI 48183-4457
(734) 892-4999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2020
Last updated
12/13/2022
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