Individual
MRS. PHYLLIS ELLEN LEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
4592 FAIRWAY RDG, WEST BLOOMFIELD, MI 48323-3309
(248) 855-8442
Mailing address
4592 FAIRWAY RDG, WEST BLOOMFIELD, MI 48323-3309
(248) 855-8442
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301007857
MI
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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