Organization
WINGS OF FREEDOM PSYCHOLOGICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA RIVAS MS, LLP, PLLC (CLINICAL PSYCHOLOGIST)
(248) 444-7378
Entity
Organization
Contact information
Practice address
2514 BIDDLE AVE, WYANDOTTE, MI 48192-7891
(248) 444-7891
Mailing address
3850 DEMEAN ST, MELVINDALE, MI 48122-1623
(248) 444-7378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/10/2019
Last updated
11/10/2019
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