Individual
RACHEL LYNN BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47818 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3373
(586) 323-3620
Mailing address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
(248) 247-2033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361007662
MI
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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