Individual provider · NPI-1

Dr. Mareitta Rene Alston, LLP

Psychologist, Clinical · Saint Clair Shores, MI

NPI number1497889463
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1497889463
Entity type
Individual (NPI-1)
Name
Dr. Mareitta Rene Alston
Credential
LLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 14, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical6301008227MIYes

Practice location

25401 Harper Ave
Saint Clair Shores, MI 48081-2240

Phone 586-466-6912

Mailing address

12537 Laing St
Detroit, MI 48224-1092

Phone 313-372-4887

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychologist, Clinical providers in Saint Clair Shores, MI