Organization
WILD BLOOMS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAUSHEEN MASOOD PHD (DIRECTOR)
(734) 709-4259
Entity
Organization
Contact information
Practice address
5840 N CANTON CENTER RD STE 282, CANTON, MI 48187-2614
(734) 905-0940
(734) 357-0766
Mailing address
5840 N CANTON CENTER RD STE 282, CANTON, MI 48187-2614
(734) 905-0940
(734) 357-0766
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
02/10/2021
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