Individual
EMILY SPORTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43155 MAIN ST, NOVI, MI 48375-1777
(734) 323-4897
Mailing address
43155 MAIN ST, NOVI, MI 48375-1777
(734) 323-4897
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6351004561
MI
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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