Organization
PREMO PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE E PREMO PHD, LP (OWNER/CLINICAL PSYCHOLOGIST)
(734) 249-8828
Entity
Organization
Contact information
Practice address
339 CARRIAGE WAY, YPSILANTI, MI 48197-7449
(734) 249-2282
Mailing address
455 E EISENHOWER PKWY, SUITE 300 PMB1166, ANN ARBOR, MI 48108-3324
(734) 249-2282
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/31/2024
Last updated
01/02/2025
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