Individual
DR. KRISTINE MARIE VAZZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3910 TELEGRAPH RD, SUITE 202, BLOOMFIELD HILLS, MI 48302-1420
(248) 686-0346
(248) 686-0344
Mailing address
3910 TELEGRAPH RD, SUITE 202, BLOOMFIELD HILLS, MI 48302-1420
(248) 686-0346
(248) 686-0344
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014012
MI
Other
Enumeration date
02/26/2007
Last updated
01/17/2012
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