Individual
MS. KIMBERLY ANN AVESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLP
Contact information
Practice address
28175 HAGGERTY RD, NOVI, MI 48377-2903
(248) 702-4470
Mailing address
28175 HAGGERTY RD, NOVI, MI 48377-2903
(248) 702-4470
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012918
MI
Other
Enumeration date
10/12/2006
Last updated
02/26/2025
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