Individual
DR. JENNIFER HANAWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
(248) 646-6659
(248) 642-8645
Mailing address
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
(248) 646-6659
(248) 642-8645
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015459
MI
Other
Enumeration date
07/16/2012
Last updated
04/02/2013
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