Most Relevant Information
Provider Data
| NPI Number: | 1003199449 |
| Provider Name: | AMY WILLIS |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/22/2011 |
| Last Updated: | 03/08/2017 |
Provider Practice Location
2399 E WALTON BLVD
AUBURN HILLS
MI
483261955
Practice Location Phone/Fax
| Phone: | 7347857718 |
| Fax: |
Provider Mailing Location
41547 TOMPKINS ST
BELLEVILLE
MI
481113441
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |