Ebrahim Safah
Psychologist, Clinical in Plymouth, MI. Individual provider (NPI-1).
NPI number1114705449
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1114705449
- Entity type
- Individual (NPI-1)
- Name
- Ebrahim Safah
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2023
- Certification date
- Sep 18, 2023
- Last updated
- Sep 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6362009802 | MI | Yes |
Practice location
44450 Pinetree DrPlymouth, MI 48170-3869
Phone 089-773-8734
Mailing address
17539 Melrose StSouthfield, MI 48075-4259
Phone 313-912-9126
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