Individual
MS. DIANNA LYNN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1600 GRATIOT BLVD, BLDG B., SUITE 4, MARYSVILLE, MI 48040-1145
(810) 364-5800
(810) 364-1200
Mailing address
1600 GRATIOT BLVD, BLDG B., SUITE 4, MARYSVILLE, MI 48040-1145
(810) 364-5800
(810) 364-1200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014401
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301014401
MI
103TF0000X
Family Psychologist
6301014401
MI
Other
Enumeration date
03/07/2007
Last updated
02/18/2013
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