Individual
PRATHIMA MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. LLP
Contact information
Practice address
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
(248) 646-6659
Mailing address
11480 E 13 MILE RD, WARREN, MI 48093-2566
(586) 216-9253
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
22251
CA
103T00000X
Psychologist
Primary
6301012647
MI
Other
Enumeration date
04/17/2007
Last updated
06/09/2023
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