Individual
DR. DENISE F MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LLP, CTS
Contact information
Practice address
28175 HAGGERTY RD, NOVI, MI 48377-2903
(734) 265-0841
Mailing address
109 HIGHLAND DR, BLOOMFIELD HILLS, MI 48302-0358
(248) 202-4192
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361003557
MI
103TC0700X
Clinical Psychologist
6301013014
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
04/02/2007
Last updated
12/27/2022
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