Individual
DR. LISA RENEE MATERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 214-8240
Mailing address
26270 TAWAS ST, MADISON HEIGHTS, MI 48071-3746
(734) 751-9785
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015218
MI
Other
Enumeration date
07/16/2013
Last updated
03/17/2021
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