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Individual

DR. POLLY GIPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
4250 PLYMOUTH ROAD, ANN ARBOR, MI 48109-2700
(734) 764-6443
(734) 763-5580
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014587
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301013968
MI

Other

Enumeration date
06/22/2010
Last updated
03/26/2013
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