Individual
IMANI RENEE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
229 N SHELDON RD, PLYMOUTH, MI 48170
(313) 278-4601
Mailing address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017396
MI
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
11/15/2018
Last updated
01/28/2019
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