Individual
COLETTA NELSON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LLP
Contact information
Practice address
461 W HURON ST, PONTIAC, MI 48341-1601
(248) 465-1991
Mailing address
461 W HURON ST, PONTIAC, MI 48341-1601
(248) 465-1991
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014319
MI
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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