Individual
DR. ELLEN FAYE BLAU SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
33045 HAMILTON CT, SUITE W-300, FARMINGTON HILLS, MI 48334-3385
(248) 848-1558
(248) 848-3592
Mailing address
33045 HAMILTON CT, SUITE W-300, FARMINGTON HILLS, MI 48334-3385
(248) 848-1558
(248) 848-3592
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011450
MI
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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