Organization
ELIZABETH A. WAITES, PSYCHOLOGIST P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANGELINE WAITES PH.D. (LICENSED PSYCHOLOGIST)
(734) 662-7312
Entity
Organization
Contact information
Practice address
2002 HOGBACK RD STE 15, ANN ARBOR, MI 48105-9736
(734) 662-7312
Mailing address
1075 BARTON DR APT 114, ANN ARBOR, MI 48105-1260
(734) 662-7312
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6301001241
MI
Other
Enumeration date
05/02/2007
Last updated
12/06/2011
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