Individual
TYERRA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 WOODWARD AVE STE 601, DETROIT, MI 48202-3165
(313) 896-4444
Mailing address
13725 BIRCH TREE WAY, SHELBY TOWNSHIP, MI 48315-6001
(313) 669-5017
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
6362010008
MI
Other
Enumeration date
09/21/2023
Last updated
10/09/2024
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