Individual
MS. KATE ELIZABETH DYKHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
120 W MAIN ST STE 207, NORTHVILLE, MI 48167-1584
(248) 567-6276
Mailing address
24299 BUCHANAN CT APT 1974, FARMINGTON HILLS, MI 48335-2120
(616) 648-2936
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017521
MI
Other
Enumeration date
10/16/2019
Last updated
10/18/2019
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