Individual
HAYLEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7718
Mailing address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7718
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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