Individual
PAMELA WARNER MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
31330 NORTHWESTERN HWY, SUITE D, FARMINGTON HILLS, MI 48334-2560
(248) 860-2024
(248) 737-9963
Mailing address
5575 TADWORTH PL, WEST BLOOMFIELD, MI 48322-4016
(248) 860-2024
(248) 737-9963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011372
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-F3-3318-0
BCBSM-PIN
MI
Enumeration date
12/18/2006
Last updated
07/31/2024
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