Individual
CASSIDY CAMPANALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
26677 W 12 MILE RD, SOUTHFIELD, MI 48034-1514
(248) 671-4383
Mailing address
26677 W 12 MILE RD, SOUTHFIELD, MI 48034-1514
(248) 671-4383
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009616
MI
Other
Enumeration date
11/07/2022
Last updated
05/03/2024
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