Organization
PSYCH ELEMENTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIE LEDERMAN PSYD (OWNER AND LICENSED PSYCHOLOGIST)
(248) 459-6767
Entity
Organization
Contact information
Practice address
3227 WOODVIEW LAKE RD, WEST BLOOMFIELD, MI 48323-3572
(248) 459-6767
Mailing address
3227 WOODVIEW LAKE RD, WEST BLOOMFIELD, MI 48323-3572
(248) 459-6767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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