Individual
DR. TERI MITCHEL HIBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
52188 VAN DYKE AVE, SUITE #304, SHELBY TOWNSHIP, MI 48316
(586) 323-0221
(586) 323-0178
Mailing address
52188 VAN DYKE AVE, SUITE #304, SHELBY TOWNSHIP, MI 48316
(586) 323-0221
(586) 323-0178
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006028
MI
Other
Enumeration date
01/21/2006
Last updated
03/21/2019
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