Individual
DR. JAYA K MADHAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8623 N WAYNE RD, SUITE 123, WESTLAND, MI 48185-1137
(734) 367-0469
(734) 367-0791
Mailing address
4684 SCOTCH PINE DR, TROY, MI 48085-3537
(248) 457-2664
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4301045337
MI
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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