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Aisha Baban

Psychologist in Troy, MI. Individual provider (NPI-1).

NPI number1124804497
StatusActive
Last updated in NPPESSep 4, 2023

Details

NPI
1124804497
Entity type
Individual (NPI-1)
Name
Aisha Baban
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 4, 2023
Certification date
Sep 3, 2023
Last updated
Sep 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist6362009783MIYes

Practice location

1777 Axtell Dr Ste 100
Troy, MI 48084-4400

Phone 248-862-1171

Mailing address

1777 Axtell Dr Ste 100
Troy, MI 48084-4400

Phone 248-862-1171

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