Individual
MRS. JENNIFER MICHELLE-HICKOX GOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., TLLP, NCSP
Contact information
Practice address
30445 NORTHWESTERN HWY STE 330, FARMINGTON HILLS, MI 48334-3102
(248) 538-5045
Mailing address
30445 NORTHWESTERN HWY STE 330, FARMINGTON HILLS, MI 48334-3102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015008
MI
103TS0200X
School Psychologist
SP0000000800668
MI
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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