Individual
DR. ADRIANNE MARIE CAMERO-SULAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
555 E WILLIAM ST, SUITE 18-H, ANN ARBOR, MI 48104-2441
(734) 355-4439
(734) 429-9584
Mailing address
376 OAK BROOK CT, SALINE, MI 48176-1579
(734) 355-4439
(734) 429-9584
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011464
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133618
PREFERRED CHOICES PPO PIN
MI
01
—
680H112680
BCBS PIN NUMBER
MI
01
—
791860000
MAGELLAN MIS NUMBER
MI
01
—
795-8733
AETNA PIN NUMBER
MI
Enumeration date
10/17/2006
Last updated
11/01/2011
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