Individual provider · NPI-1

Wafa Ali

Psychologist · Detroit, MI

NPI number1356798714
StatusActive
Last updated in NPPESApr 16, 2020

Details

NPI
1356798714
Entity type
Individual (NPI-1)
Name
Ms. Wafa Ali
Sex
Female
Sole proprietor
No
Enumeration date
May 16, 2016
Certification date
Apr 16, 2020
Last updated
Apr 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist–MIYes

Practice location

19445 W Warren Ave
Detroit, MI 48228-3361

Phone 313-307-0088 · Fax 313-281-2235

Mailing address

19445 W Warren Ave
Detroit, MI 48228-3361

Phone 313-307-0088 · Fax 313-281-2235

Other practice locations

3120 Carpenter St Ste 211
Hamtramck, MI 48212-2783

Phone 734-291-0005 · Fax 313-281-2235

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