Individual
MRS. JULIENNE DAVIDGE FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, L.L.P
Contact information
Practice address
2825 LIVERNOIS RD, TROY, MI 48083-1214
(248) 680-2060
Mailing address
30524 MCGRATH DR, WARREN, MI 48093-5611
(586) 582-0063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361005162
MI
103TC0700X
Clinical Psychologist
6301009310
MI
Other
Enumeration date
01/02/2007
Last updated
10/02/2025
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