Individual
ANI OURLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33855 CARL DR, LIVONIA, MI 48152-1210
(248) 819-1402
Mailing address
33855 CARL DR, LIVONIA, MI 48152-1210
(248) 819-1402
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008026
MI
103TC0700X
Clinical Psychologist
6361008026
MI
Other
Enumeration date
08/23/2022
Last updated
01/08/2025
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