Individual
VICTORIA MARIE YELLETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 N GARNER RD, MILFORD, MI 48380-3633
(248) 676-0963
Mailing address
651 N GARNER RD, MILFORD, MI 48380-3633
(248) 676-0963
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301002439
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301002439
MI
103TF0000X
Family Psychologist
6301002439
MI
103TP2701X
Group Psychotherapy Psychologist
6301002439
MI
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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