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Organization

THERASUPPORT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTY L DELPH (OFFICE MANAGER)
(734) 677-0200
Entity
Organization

Contact information

Practice address
4343 CONCOURSE DR., SUITE 250, ANN ARBOR, MI 48108-8672
(734) 677-0200
(734) 677-3310
Mailing address
4343 CONCOURSE DR., SUITE 250, ANN ARBOR, MI 48108-8672
(734) 677-0200
(734) 677-3310

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301001432
MI
174400000X
Specialist
5201007359
MI
235Z00000X
Speech-Language Pathologist
7101001686
MI

Other

Enumeration date
03/23/2015
Last updated
01/02/2024
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