Individual
MS. REBECCA VLASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
20300 CIVIC CENTER DR, SOUTHFIELD, MI 48076-4105
(248) 559-8190
(248) 559-8776
Mailing address
1870 REDDING RD, BIRMINGHAM, MI 48009-1054
(248) 535-0345
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008441
MI
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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