Organization
NOVA PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSALYNN MARIE MOTEN-TRAVIS PH.D. (CLINICAL DIRECTOR)
(313) 719-1649
Entity
Organization
Contact information
Practice address
16676 FESTIAN DR, CLINTON TOWNSHIP, MI 48035-2231
(313) 719-1649
(586) 792-2951
Mailing address
16676 FESTIAN DR, CLINTON TOWNSHIP, MI 48035-2231
(313) 719-1649
(586) 792-2951
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011759
MI
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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