Individual
JESSICA PURTAN HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5665 W MAPLE RD, SUITE A, WEST BLOOMFIELD, MI 48322-3741
(248) 767-5985
(248) 626-8836
Mailing address
5665 W MAPLE RD, SUITE A, WEST BLOOMFIELD, MI 48322-3741
(248) 767-5985
(248) 626-8836
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301010406
MI
103TC0700X
Clinical Psychologist
Primary
6301010406
MI
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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