Individual
MELISSA BALOGH WAIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.L.P.
Contact information
Practice address
2006 HOGBACK RD, ANN ARBOR, MI 48105-9750
(734) 786-2300
Mailing address
2006 HOGBACK RD, ANN ARBOR, MI 48105-9750
(734) 786-2300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008978
MI
103TC0700X
Clinical Psychologist
6301008978
MI
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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