Individual
DR. WILLIAM L. MICHIELUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3779 VEST MILL RD, SUITE C, WINSTON-SALEM, NC 27103-2991
(336) 768-9264
Mailing address
3779 VEST MILL RD, SUITE C, WINSTON-SALEM, NC 27103-2991
(336) 768-9264
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
577
NC
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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