Individual
WENDY PANDORA CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11253 SOMERSET AVE, DETROIT, MI 48224-1128
(313) 530-3411
(313) 579-9172
Mailing address
11253 SOMERSET AVE, DETROIT, MI 48224-1128
(313) 530-3411
(313) 579-9172
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014781
MI
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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