Organization
LINDA THIBAULT, PSY. D., LP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA THIBAULT PSY.D. (OWNER/PROPRIETOR)
(734) 657-8443
Entity
Organization
Contact information
Practice address
20793 FARMINGTON RD, SUITE #17, FARMINGTON HILLS, MI 48336-5182
(734) 657-8443
Mailing address
20793 FARMINGTON RD, SUITE #17, FARMINGTON HILLS, MI 48336-5182
(734) 657-8443
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6301014245
MI
Other
Enumeration date
04/20/2012
Last updated
12/11/2013
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