Tracy Lynn Weitzman MA TLLP

NPI 1295006260 - Psychologist - 103T00000X

NPI Details
NPI 1295006260
Gender Female
Enumeration Date 01/23/2012
Last Updated 01/23/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
20300 CIVIC CENTER DR
STE. 303
SOUTHFIELD MI, 48076-4105, US
Phone (248) 559-8190
Fax (248) 559-8776
Business Location
20300 CIVIC CENTER DR.
STE. 3030
SOUTHFIELD MI, 48076-4169, US
Phone (248) 559-8190
Fax (248) 559-8776
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number L2082501
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According to our database, Ms. Tracy Lynn Weitzman MA TLLP NPI is 1295006260, taxonomy code is 103T00000X and license number is L2082501, license state is located at Michigan. Tracy Lynn Weitzman MA TLLP physically located at 20300 Civic Center Dr, Southfield MI, 48076-4105. NPI Number Tracy Lynn Weitzman MA TLLP has the Individual type.

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1295006260 NPI number is provided on an as is basis without warranty of any kind. 1295006260 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Lynn Weitzman MA TLLP are for informational purposes only.