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: |