Individual
NICOLE P PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
214 S MAIN ST STE 206, ANN ARBOR, MI 48104-2122
(734) 224-3822
Mailing address
2576 MYSTIC DR, ANN ARBOR, MI 48103-8951
(303) 506-6556
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017419
MI
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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