Organization
CHRISTINA HAEMMERLE PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA HAEMMERLE PH.D. (PRESIDENT)
(586) 321-8115
Entity
Organization
Contact information
Practice address
2565 S ROCHESTER RD, SUITE 108B, ROCHESTER HILLS, MI 48307-4472
(248) 852-7907
Mailing address
55680 LANCEWOOD DR, SHELBY TOWNSHIP, MI 48316-5808
(586) 207-1069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350883000
MAGELLAN
MI
Enumeration date
01/09/2007
Last updated
11/13/2010
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