Individual
MARY JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 N MILFORD RD, SUITE NUMBER 205, MILFORD, MI 48381-1058
(248) 840-0660
(248) 562-3210
Mailing address
1550 N MILFORD RD, SUITE NUMBER 205, MILFORD, MI 48381-1058
(248) 840-0660
(248) 562-3210
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009324
MI
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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