Individual
ALICIA MARIE WEISENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLP
Contact information
Practice address
27780 NOVI RD STE 107, NOVI, MI 48377-3427
(781) 799-0968
Mailing address
9258 ABBEY LN, YPSILANTI, MI 48198-9414
(781) 799-0968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015544
MI
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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