Individual
RHONDA RAVENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
(313) 278-4601
Mailing address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
6301015937
MI
Other
Enumeration date
07/07/2014
Last updated
04/09/2018
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