Individual
DR. JOAN DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
4169 MARIO CT, PLYMOUTH, MI 48170-5132
(734) 455-7024
Mailing address
4169 MARIO CT, PLYMOUTH, MI 48170-5132
(734) 455-7024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007047
MI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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