Individual
DR. RENEE BOUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
18480 LANCASHIRE ST, DETROIT, MI 48223-1325
(313) 272-0250
Mailing address
18480 LANCASHIRE ST, DETROIT, MI 48223-1325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301002743
MI
103TS0200X
School Psychologist
Primary
CC-0C1790525433
MI
Other
Enumeration date
11/29/2014
Last updated
11/29/2014
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