Individual
MS. TINA MARIE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.L.P.
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3395
(734) 458-3394
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3395
(734) 458-3394
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301011727
MI
103TF0000X
Family Psychologist
Primary
6301011727
MI
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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