Individual
DR. AMY ZELIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
36500 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
(248) 602-2505
Mailing address
36500 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
(248) 602-2505
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301016002
MI
103TC0700X
Clinical Psychologist
Primary
6301018956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245708320
NPI 2
MI
01
—
6301018956
LICENSE
MI
Enumeration date
03/05/2009
Last updated
12/08/2022
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