IndividualActive
Amy Pruneau, LLP
NPI 1053603225 · Clinical Child & Adolescent Psychologist · Walled Lake, MI
Provider details
- NPI number
- 1053603225
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- LLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6301014003 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
260 Neptune Dr
Walled Lake, MI 48390-3661
Phone: (248) 821-6485
Approximate (ZIP-level) locationGet directions
Mailing address
260 Neptune Dr
Walled Lake, MI 48390-3661
Registry dates
- Enumerated
- 2011-05-06
- Last updated
- 2011-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.