Individual
AMY GROESBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10909 HANNAN RD, ROMULUS, MI 48174-1383
(734) 893-1000
Mailing address
10909 HANNAN RD, ROMULUS, MI 48174-1383
(734) 893-1000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014507
MI
Other
Enumeration date
08/03/2010
Last updated
11/16/2016
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