Individual
TAVIA TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
18758 FLORENCE ST, ROSEVILLE, MI 48066-4816
(313) 740-6084
Mailing address
18758 FLORENCE ST, ROSEVILLE, MI 48066-4816
(313) 740-6084
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58966997
—
MI
Enumeration date
01/14/2018
Last updated
01/14/2018
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