Individual
ANGELA M TIEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., TLLP
Contact information
Practice address
315 N CENTER ST, NORTHVILLE, MI 48167-1277
(313) 656-4053
Mailing address
14558 FAUST AVE, DETROIT, MI 48223-2321
(269) 598-1391
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009203
MI
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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