Individual
SUMMER MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
14533 MACK AVE, DETROIT, MI 48215-2520
(313) 231-1771
Mailing address
2984 SUNDERLAND, WATERFORD, MI 48329-2857
(248) 421-2311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362001476
MI
103TC0700X
Clinical Psychologist
6362001476
MI
Other
Enumeration date
08/26/2021
Last updated
08/05/2022
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