Individual
DR. DUNYA TERESA YALDOO POLTORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
199 W BROWN ST, STE 200, BIRMINGHAM, MI 48009-6022
(248) 203-2333
(248) 203-2444
Mailing address
199 W BROWN ST, STE 200, BIRMINGHAM, MI 48009-6022
(248) 203-2333
(248) 203-2444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5673
OH
103TC0700X
Clinical Psychologist
Primary
6301014136
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2221910
—
OH
Enumeration date
01/18/2007
Last updated
03/19/2010
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