Individual
REBECCA CIPOLLONE ANTONACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
30200 TELEGRAPH RD STE 207, BINGHAM FARMS, MI 48025-5711
(248) 712-1129
(248) 792-3249
Mailing address
2015 BROCKTON AVE, ROYAL OAK, MI 48067-3513
(248) 712-1129
(248) 792-3249
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010053
MI
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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