Individual
ANNE VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4171 NATHAN W, STERLING HTS, MI 48310-2650
(248) 660-5034
Mailing address
4171 NATHAN W, STERLING HTS, MI 48310-2650
(248) 660-5034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F371350
BCBSM
MI
Enumeration date
02/28/2006
Last updated
10/29/2024
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