Individual
SUMMAR RESLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-9854
Mailing address
261 MACK AVE, DETROIT, MI 48201-2417
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016062
MI
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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