Ebony Latrese Bertelsmeyer

NPI #1003390600 in Oxford, Michigan

Provider Information

NPI Number: 1003390600
Entity Type: Individual
Name: Ebony Latrese Bertelsmeyer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Sep 19, 2018
Last Updated: Jan 14, 2020

Practice Location

Address: 1450 S LAPEER RD
City: Oxford
State: Michigan
ZIP Code: 48371-6108
Phone: (489) 699-9322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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