Individual
SCOTT CHARLES VOTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
17290 FARMINGTON RD, LIVONIA, MI 48152-3151
(269) 967-4843
Mailing address
17290 FARMINGTON RD, LIVONIA, MI 48152-3151
(269) 967-4843
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361006548
MI
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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