Organization
NOVA PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSALYNN MARIE MOTEN PH.D. (PRESIDENT)
(313) 719-1649
Entity
Organization
Contact information
Practice address
2215 GOLFVIEW DR, STE 202, TROY, MI 48084-3919
(313) 719-1649
(248) 792-3042
Mailing address
2215 GOLFVIEW DR, STE 202, TROY, MI 48084-3919
(313) 719-1649
(248) 792-3042
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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