Most Relevant Information
Provider Data
| NPI Number: | 1003173808 |
| Provider Name: | BEVERLY LOUISE TUJAGUE PHD, LLP, CRC, CH |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | L2085895 |
Most Important Dates
| Enumeration Date: | 04/18/2012 |
| Last Updated: | 04/18/2012 |
Provider Practice Location
16200 19 MILE RD
CLINTON TOWNSHIP
MI
480381103
Practice Location Phone/Fax
| Phone: | 2482768177 |
| Fax: | 5864166129 |
Provider Mailing Location
21723 LANGE ST
SAINT CLAIR SHORES
MI
480803944
Provider Mailing Phone/Fax
| Phone: | 5864919044 |
| Fax: | 5867724950 |