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Individual

MR. EDWARD DEWITT HUNTLEY IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1681 FULMER ST, ANN ARBOR, MI 48103-2452
(301) 655-1936
Mailing address
1681 FULMER ST, ANN ARBOR, MI 48103-2452
(301) 655-1936

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301015379
MI
103TC0700X
Clinical Psychologist
Primary
6301015379
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301015379
MI
173F00000X
Sleep Specialist (PhD)
6301015379

Other

Enumeration date
07/15/2011
Last updated
04/28/2020
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