Organization
JUDITH THURSWELL, PSYD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH LINDA THURSWELL PSY.D. (PRESIDENT)
(248) 613-4443
Entity
Organization
Contact information
Practice address
5777 W MAPLE RD, 177, WEST BLOOMFIELD, MI 48322-2267
(248) 613-4443
(248) 562-7611
Mailing address
5777 W MAPLE RD, 177, WEST BLOOMFIELD, MI 48322-2267
(248) 613-4443
(248) 562-7611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014257
MI
251S00000X
Community/Behavioral Health Agency
6401009511
MI
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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