Organization
INSIGHT BEHAVIORAL WELLNESS OF NORTHERN MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A DOREMUS PHD (OWNER)
(404) 975-0313
Entity
Organization
Contact information
Practice address
537 S GARFIELD AVE STE B, TRAVERSE CITY, MI 49686-3484
(440) 915-8497
Mailing address
537 S GARFIELD AVE STE B, TRAVERSE CITY, MI 49686-3484
(440) 915-8497
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017346
MI
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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