Individual provider · NPI-1

Dr. Samah Abdul Altairi, PhD

Psychologist, Clinical · Detroit, MI

NPI number1043686215
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1043686215
Entity type
Individual (NPI-1)
Name
Dr. Samah Abdul Altairi
Credential
PhD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2015
Certification date
Sep 11, 2025
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical6301019715MIYes

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 313-916-9100

Mailing address

3246 Roulo St
Dearborn, MI 48120-1448

Phone 313-766-1965

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