Individual
NICOLE ELIZABETH TOWNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
13333 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
(734) 287-3071
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017910
MI
Other
Enumeration date
09/04/2018
Last updated
10/01/2021
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