Individual
JENNIFER MARIE VAN CLEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLP
Contact information
Practice address
1200 N TELEGRAPH RD, BLDG 32E, PONTIAC, MI 48341-1032
(248) 464-6340
Mailing address
2419 OLTESVIG LN, HIGHLAND, MI 48357-3349
(586) 596-9318
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014472
MI
Other
Enumeration date
02/04/2013
Last updated
03/31/2016
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