Individual
REBECCA JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33447 CINDY ST, LIVONIA, MI 48150-2601
(313) 319-6923
Mailing address
33447 CINDY ST, LIVONIA, MI 48150-2601
(313) 319-6923
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301019718
MI
Other
Enumeration date
01/04/2024
Last updated
09/08/2025
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