Individual
SUSAN G DANIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
38807 ANN ARBOR RD STE 9, LIVONIA, MI 48150
(734) 772-0148
(734) 943-6051
Mailing address
38807 ANN ARBOR RD, STE 9, LIVONIA, MI 48150-3896
(734) 772-0148
(734) 943-6051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H28818
BCBSM PROVIDER PIN
MI
Enumeration date
01/03/2011
Last updated
08/12/2025
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