Individual
SYDNY VANESSA RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
315 N CENTER ST, NORTHVILLE, MI 48167-1277
(313) 656-4052
Mailing address
3941 E NEVADA ST, DETROIT, MI 48234-1840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009331
MI
Other
Enumeration date
08/12/2018
Last updated
11/07/2022
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