Individual
MS. LATANYA DENISE GATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15818 TULLER ST, DETROIT, MI 48238-1240
(313) 770-4800
Mailing address
5016 LINCOLN BLVD, DEARBORN HEIGHTS, MI 48125-2500
(313) 770-4800
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/12/2012
Last updated
03/13/2013
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