Individual
JESICA LEIGH KALMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-3471
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-3471
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301017387
MI
103TC0700X
Clinical Psychologist
Primary
6301017387
MI
Other
Enumeration date
09/14/2018
Last updated
11/19/2019
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