Individual
KIMBERLY FORBES-DYCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
1777 AXTELL DR, TROY, MI 48084-4404
(248) 764-8787
Mailing address
3062 BERKSHIRE CT, MILFORD, MI 48380-3238
(248) 764-8787
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009582
MI
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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