LA-TOYA SHANNELLE GAINES

SOUTHFIELD, MI
NPI1356678320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301015276)
Additional Taxonomies103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MI  6301015276)
Enumeration Date2009-11-11
Last Update Date2016-04-20
Business Address
Mrs. LA-TOYA SHANNELLE GAINES Psy.D. L.P.
29532 SOUTHFIELD RD SUITE #101
SOUTHFIELD, MI 48076-2023
Phone number: 313-449-3913
Mailing Address
Mrs. LA-TOYA SHANNELLE GAINES Psy.D. L.P.
29532 SOUTHFIELD RD SUITE #101
SOUTHFIELD, MI 48076-2023
Phone number: 313-449-3913