Jennifer Dearnley, TLLP
Psychologist, Clinical in Center Line, MI. Individual provider (NPI-1).
NPI number1821363680
StatusActive
Last updated in NPPESApr 3, 2013
Details
- NPI
- 1821363680
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Dearnley
- Credential
- TLLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2012
- Last updated
- Apr 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301014944 | MI | Yes |
Practice location
26522 Van Dyke AveCenter Line, MI 48015-1221
Phone 586-759-4400 · Fax 586-759-4401
Mailing address
26522 Van Dyke AveCenter Line, MI 48015-1221
Phone 586-759-4400 · Fax 586-759-4401
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