Individual
HEATHER O'BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
31521 SAINT MARGARET ST., SAINT CLAIR SHORES, MI 48082
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301017086
MI
103T00000X
Psychologist
Primary
6361007521
MI
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
09/14/2015
Last updated
07/20/2021
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