Individual
OLENA TETYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
359 LIVERNOIS ST STE 202, FERNDALE, MI 48220-2676
(248) 256-5417
Mailing address
359 LIVERNOIS ST STE 202, FERNDALE, MI 48220-2676
(248) 256-5417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007787
MI
103TC0700X
Clinical Psychologist
6361007787
MI
Other
Enumeration date
09/07/2021
Last updated
04/23/2026
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