Individual
DR. BEVERLY A COSTINEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. L.P.
Contact information
Practice address
31700 W 13 MILE RD, SUITE 201, FARMINGTON HILLS, MI 48334-2166
(810) 923-8402
(810) 355-1337
Mailing address
31700 W 13 MILE RD, SUITE 201, FARMINGTON HILLS, MI 48334-2166
(810) 923-8402
(810) 355-1337
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301003869
MI
Other
Enumeration date
08/24/2006
Last updated
09/09/2015
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