Individual
ANNETTE C. SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
999 HAYNES ST, STE 345, BIRMINGHAM, MI 48009-6703
(248) 593-5557
(248) 594-7313
Mailing address
999 HAYNES ST, STE 345, BIRMINGHAM, MI 48009-6703
(248) 885-2956
(248) 481-2172
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009811
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11289458
CAQH
—
Enumeration date
09/21/2006
Last updated
02/14/2017
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