Individual
AMY ELIZABETH SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
29550 FIVE MILE RD, LIVONIA, MI 48154-3710
(800) 305-3223
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(800) 395-3223
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704248762
MI
Other
Enumeration date
01/13/2022
Last updated
10/24/2023
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