Individual
SHANTIA DEANN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20914 RENSSELAER ST, FARMINGTON HILLS, MI 48336-6202
(313) 580-9839
Mailing address
20914 RENSSELAER ST, FARMINGTON HILLS, MI 48336-6202
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
MI
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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