Individual
DR. THERESA ANN ANDARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. L.P.
Contact information
Practice address
18471 HAGGERTY RD, NORTHVILLE, MI 48168-9575
(248) 735-6719
(248) 349-8259
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(248) 577-9205
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301013068
MI
103TC0700X
Clinical Psychologist
Primary
6301018761
MI
Other
Enumeration date
02/23/2007
Last updated
01/06/2025
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