Toni Renee Pruss

NPI 1023380268 - Psychologist - 103TC0700X

NPI Details
NPI 1023380268
Gender Female
Enumeration Date 02/03/2012
Last Updated 02/03/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
19401 NORTHLINE RD
SOUTHGATE MI, 48195-2277, US
Phone (734) 785-7718
Fax
Business Location
28773 WALES DR
CHESTERFIELD MI, 48047-1743, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Michigan
License Number 6301013605
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According to our database, Mrs. Toni Renee Pruss NPI is 1023380268, taxonomy code is 103TC0700X and license number is 6301013605, license state is located at Michigan. Toni Renee Pruss physically located at 19401 Northline Rd, Southgate MI, 48195-2277. NPI Number Toni Renee Pruss has the Individual type.

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1023380268 NPI number is provided on an as is basis without warranty of any kind. 1023380268 is maintained by the National Plan & Provider Enumeration System. The contents of Toni Renee Pruss are for informational purposes only.