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Individual

DR. CATHY JOAN PIETROFESA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
74 W LONG LAKE RD, SUITE 104, BLOOMFIELD HILLS, MI 48304-2769
(248) 642-6066
(248) 642-5739
Mailing address
PO BOX 99, BLOOMFIELD HILLS, MI 48303-0099
(248) 642-6066
(248) 642-5739

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005792
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047341
VALUE OPTIONS
Enumeration date
01/22/2007
Last updated
07/08/2007
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