Organization
THERAPY FOR CHANGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WOLF PSYD (OWNER/AUTHORIZED OFFICIAL)
(734) 730-5534
Entity
Organization
Contact information
Practice address
120 E LIBERTY ST, STE 300, ANN ARBOR, MI 48104-2156
(734) 730-5534
Mailing address
120 E LIBERTY ST, STE 300, ANN ARBOR, MI 48104-2156
(734) 730-5534
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015616
MI
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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