Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMONIQUE GABRIELLE ANDERSON, MA TLLP
Active Sole ProprietorDOMONIQUE GABRIELLE ANDERSON, MA TLLP is a Clinical Psychologist healthcare provider located in REDFORD, Michigan. NPI 1356124267 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · REDFORD, MI
Registration Details
- NPI Number
- 1356124267
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2023 (3.0309900813721 yrs)
- Last Updated
- Jan 3, 2026
- License
-
6362009770 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12956 LENOREREDFORD, MI, 482392609Browse MI providers · Browse ZIP 48239
- Phone
- 2485793981
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in REDFORD, MI
| Name | Credential | NPI |
|---|---|---|
| ASHLEY MCCLAIN | — | 1245669027 |
| JONATHAN ANDREW KRAUSE | MA, TLLP | 1275905580 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.