Individual provider · NPI-1
Kowthar Al-Arithy
Technician/Technologist · Dearborn, MI
NPI number1679291835
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1679291835
- Entity type
- Individual (NPI-1)
- Name
- Kowthar Al-Arithy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – |
Practice location
19853 Outer Dr Ste 110Dearborn, MI 48124-2044
Phone 313-406-5056
Mailing address
19853 Outer Dr Ste 110Dearborn, MI 48124-2044
Phone 313-406-5056
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