Individual
KELLY TOGGWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10524 GRAND RIVER RD STE 100, BRIGHTON, MI 48116-9559
(810) 225-3417
Mailing address
32523 WISCONSIN ST, LIVONIA, MI 48150-3717
(586) 883-2169
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301017132
MI
103T00000X
Psychologist
6301017132
—
103T00000X
Psychologist
Primary
6362008020
MI
103T00000X
Psychologist
6362008020
—
Other
Enumeration date
08/01/2017
Last updated
06/15/2020
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