Individual
ALYSSA LYSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1100 CORPORATE OFFICE DR STE 300, MILFORD, MI 48381-5002
(734) 787-6704
Mailing address
464 S MARIE ST, WESTLAND, MI 48186-3816
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017645
MI
Other
Enumeration date
09/28/2018
Last updated
10/11/2023
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