Individual
DR. MARILYN KAY GERWOLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7467 BINGHAM ST, DEARBORN, MI 48126-1428
(313) 600-9553
Mailing address
7467 BINGHAM ST, DEARBORN, MI 48126-1428
(313) 600-9553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008434
MI
103TC0700X
Clinical Psychologist
6301008434
MI
103TF0200X
Forensic Psychologist
6301008434
MI
103TH0004X
Health Psychologist
6301008434
MI
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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