Individual
HEATHER WEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LLP
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
Mailing address
720 CHANNING ST, FERNDALE, MI 48220-3512
(715) 965-5721
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009205
MI
Other
Enumeration date
10/16/2020
Last updated
06/04/2025
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