Organization
EMILY ABBENANTE-HONOLD PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ABBENANTE-HONOLD PHD (OWNER)
(989) 245-4756
Entity
Organization
Contact information
Practice address
2395 OAK VALLEY DR, STE 100, ANN ARBOR, MI 48103-9118
(734) 995-7181
Mailing address
2395 OAK VALLEY DR, STE 100, ANN ARBOR, MI 48103-9118
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015752
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H12011
BCBS
—
Enumeration date
09/18/2014
Last updated
10/16/2014
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