DR. THERESA EGAN, PHD
Psychologist - Clinical
Active
Individual
NPI: 1790888352
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 6301011944 (MI) |
Frequently Asked Questions
NPI 1790888352 is the National Provider Identifier for DR. THERESA EGAN, PHD, a Psychologist - Clinical provider located in Southfield, MI. This NPI was enumerated on September 7, 2006.
DR. THERESA EGAN, PHD practices at 17336 W 12 MILE RD STE 101, Southfield, MI 48076.
Quick Facts
- NPI
- 1790888352
- Type
- Individual
- Enumerated
- Sep 7, 2006
- Last Updated
- Jun 24, 2009
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