Organization
JENNI KNOWLES, PH.D., LP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA KNOWLES LP (SOLE PROPRIETOR)
(248) 320-1196
Entity
Organization
Contact information
Practice address
200 E BIG BEAVER RD # 116, TROY, MI 48083-1208
(248) 320-1196
Mailing address
6633 ELLINWOOD DR, WHITE LAKE, MI 48383-3083
(248) 320-1196
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014248
MI
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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