Individual
LISA ROBIN ELROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
UPC LIVONIA, 16836 NEWBURGH RD, LIVONIA, MI 48154
(888) 362-7792
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5971
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005907
MI
Other
Enumeration date
05/31/2006
Last updated
12/13/2013
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