Organization
WISE MIND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINETTE CROCILLA PSYD LP (PSYCHOLOGIST/OWNER)
(517) 499-0991
Entity
Organization
Contact information
Practice address
127 N WASHINGTON ST, YPSILANTI, MI 48197-2619
(734) 682-5544
Mailing address
127 N WASHINGTON ST, YPSILANTI, MI 48197-2619
(734) 682-5544
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
02/14/2022
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