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Individual

DR. TRACEY TOROSIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
20816 E 11 MILE RD, SUITE 112, SAINT CLAIR SHORES, MI 48081-1565
(586) 774-7344
(586) 774-7345
Mailing address
20816 E 11 MILE RD, SUITE 112, SAINT CLAIR SHORES, MI 48081-1565
(586) 774-7344
(586) 774-7345

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009014
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
320026000
PHCS
MI
01
68OEO46090
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/03/2007
Last updated
03/17/2021
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