DAVISHA OUTEN

DETROIT, MI
NPI1275955841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301015735)
Enumeration Date2014-01-15
Last Update Date2014-01-15
Business Address
-- DAVISHA OUTEN MA, TLLP
882 OAKMAN BLVD SUITE D
DETROIT, MI 48238-3710
Phone number: 313-961-7990
Mailing Address
-- DAVISHA OUTEN MA, TLLP
1064 LAKEVIEW ST
WATERFORD, MI 48328-3817
Phone number: