Organization
MYBODY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE LUXON PSY.D (CLINICAL DIRECTOR)
(248) 791-2639
Entity
Organization
Contact information
Practice address
912 S OLD WOODWARD AVE STE 200, BIRMINGHAM, MI 48009-6721
(248) 537-2639
Mailing address
912 S OLD WOODWARD AVE STE 200, BIRMINGHAM, MI 48009-6721
(248) 537-2639
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016242
MI
Other
Enumeration date
08/31/2016
Last updated
09/30/2020
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