Individual
DR. THEADIA LARUE CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2102
(248) 727-3456
Mailing address
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2102
(248) 838-9852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301076021
MI
2084P0802X
Addiction Psychiatry Physician
4301076021
MI
Other
Enumeration date
04/06/2007
Last updated
04/08/2026
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