Individual
MICHAEL TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
41000 PLYMOUTH RD, SUITE 110, PLYMOUTH, MI 48170
(734) 927-1201
Mailing address
41100 PLYMOUTH RD STE 110, PLYMOUTH, MI 48170-3895
(734) 927-1201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MI
Other
Enumeration date
05/14/2025
Last updated
05/22/2025
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