Individual
DR. LAUREL ANNE SILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5600 W MAPLE RD, BLDG. B SUITE 215, W BLOOMFIELD, MI 48322-3704
(248) 788-4230
Mailing address
5600 W MAPLE RD, BLDG. B SUITE 215, W BLOOMFIELD, MI 48322-3704
(248) 788-4230
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006969
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF34967
BCBS OF MI
MI
Enumeration date
10/03/2006
Last updated
10/31/2011
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