Individual
HEATHER EVJEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,L.L.P.
Contact information
Practice address
2011 CROOKS RD, ROYAL OAK, MI 48073-4049
(248) 613-0546
Mailing address
2252 ELLERY AVE, WATERFORD, MI 48327-1106
(248) 613-0546
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012077
MI
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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