Individual
DR. LAURA M. NORTHERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
6022 W MAPLE RD STE 403, WEST BLOOMFIELD, MI 48322-4408
(248) 266-1183
Mailing address
6022 W MAPLE RD STE 403, WEST BLOOMFIELD, MI 48322-4408
(248) 266-1183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301019027
MI
Other
Enumeration date
06/12/2014
Last updated
01/10/2022
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