Organization
RISING UP PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY ELIZABETH DEPETRO PSYD (CLINICAL PSYCHOLOGIST)
(906) 869-8003
Entity
Organization
Contact information
Practice address
112 W WASHINGTON ST STE D, MARQUETTE, MI 49855-4367
(906) 869-8003
Mailing address
2202 FITCH AVE, MARQUETTE, MI 49855-1704
(906) 869-8003
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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