Individual
CHERYL BETH BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., T.L.L.P.
Contact information
Practice address
38345 W 10 MILE RD, SUITE 150, FARMINGTON HILLS, MI 48335-2867
(248) 478-0422
Mailing address
38345 W 10 MILE RD, SUITE 150, FARMINGTON HILLS, MI 48335-2867
(248) 478-0422
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
6301013678
MI
103TC1900X
Counseling Psychologist
Primary
6301013678
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301013678
MI
103TF0000X
Family Psychologist
6301013678
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301013678
MI
103TP2701X
Group Psychotherapy Psychologist
6301013678
MI
106H00000X
Marriage & Family Therapist
6301013678
MI
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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