Individual
AVERY GRACE COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
31478 INDUSTRIAL RD STE 300, LIVONIA, MI 48150-1840
(734) 245-2500
Mailing address
1663 ASHSTAN DR, WALLED LAKE, MI 48390-2609
(248) 924-8564
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362010365
MI
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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