Organization
MIRA CELY, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRA CELY PH.D., L.P. (OWNER)
(248) 342-8566
Entity
Organization
Contact information
Practice address
300 E MAPLE RD STE 322, BIRMINGHAM, MI 48009-6311
(248) 342-8566
Mailing address
29968 SPARKLEBERRY DR, SOUTHFIELD, MI 48076-2072
(248) 342-8566
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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