Individual
TERESA KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RN, LLP
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012403
MI
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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