Individual
DEBRA SIEGEL LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 W LIBERTY ST, ANN ARBOR, MI 48103-6560
(847) 302-6425
Mailing address
1109 POMONA RD, ANN ARBOR, MI 48103-3044
(847) 302-6425
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016007
MI
Other
Enumeration date
09/16/2009
Last updated
01/29/2020
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