Individual
MS. JOANNA PEPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
3189 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 325-0082
(231) 932-7693
Mailing address
PO BOX 29, EMPIRE, MI 49630-0029
(231) 325-0082
(231) 932-7693
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301007365
MI
103TC0700X
Clinical Psychologist
Primary
6301007365
MI
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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