Individual
RAY LYNN KAIDBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTLLP
Contact information
Practice address
17515 W 9 MILE RD STE 240, SOUTHFIELD, MI 48075-4423
(248) 579-2188
Mailing address
49982 ASH CT, PLYMOUTH, MI 48170-6380
(734) 890-0920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6352000774
MI
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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