Individual
JENNIFER LYNN BUSWINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
T.L.L.P.
Contact information
Practice address
18600 NORTHVILLE RD STE 400B, NORTHVILLE, MI 48168-3544
(734) 890-4057
Mailing address
31811 W CHICAGO ST, LIVONIA, MI 48150-2831
(734) 890-4057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016192
MI
Other
Enumeration date
02/11/2019
Last updated
10/23/2023
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