Edyta Sylwia Krukowska-Urban, PhD, LP
Psychologist, Clinical in Novi, MI. Individual provider (NPI-1).
NPI number1245352012
StatusActive
Last updated in NPPESJun 19, 2018
Details
- NPI
- 1245352012
- Entity type
- Individual (NPI-1)
- Name
- Edyta Sylwia Krukowska-Urban
- Credential
- PhD, LP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2007
- Last updated
- Jun 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301015110 | MI | Yes |
| 103T00000X | Psychologist | 6301015110 | MI |
Practice location
26850 Providence PkwySuite 410
Novi, MI 48374
Phone 248-795-4691
Mailing address
26850 Providence PkwySuite 410
Novi, MI 48374
Phone 248-795-4691
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