Organization
AMY ZELIDMAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY ZELIDMAN PHD, LP (FULLY LICENSED PSYCHOLOGIST/OWNER)
(248) 514-5354
Entity
Organization
Contact information
Practice address
36500 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
(248) 514-5354
Mailing address
36500 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
(248) 514-5354
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760622666
NPI 1
MI
01
—
6301018956
LICENSE
MI
Enumeration date
11/07/2018
Last updated
11/10/2022
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