Individual
JESSICA LYNN BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3800 PACKARD ST, ANN ARBOR, MI 48108-2073
(218) 790-2715
Mailing address
1459 WISTERIA DR, ANN ARBOR, MI 48104-4643
(218) 790-2715
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301019113
MI
103TC0700X
Clinical Psychologist
6301019113
MI
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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