Individual
MS. AVA ELIZABETH SELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, TLLP
Contact information
Practice address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301018366
MI
103TC0700X
Clinical Psychologist
Primary
6362001113
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
TAXONOMY
MI
Enumeration date
05/16/2018
Last updated
04/30/2020
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