Most Relevant Information
Provider Data
| NPI Number: | 1003554379 |
| Provider Name: | AMBER MICHON |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 6362009514 |
Most Important Dates
| Enumeration Date: | 05/25/2022 |
| Last Updated: | 05/25/2022 |
Provider Practice Location
14081 LA CHENE AVE
WARREN
MI
480883221
Practice Location Phone/Fax
| Phone: | 5868172432 |
| Fax: |
Provider Mailing Location
14081 LA CHENE AVE
WARREN
MI
480883221
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |