Individual
MRS. DIANE MAE TUNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
1685 BALDWIN AVE, SUITE A, PONTIAC, MI 48340-1115
(248) 706-3450
(248) 706-3455
Mailing address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(248) 475-6400
(248) 475-6403
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015686
MI
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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