Shannon Conz, M.A., L.L.P.
Psychologist, Clinical in Berkley, MI. Individual provider (NPI-1).
NPI number1710248034
StatusActive
Last updated in NPPESJun 4, 2012
Details
- NPI
- 1710248034
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shannon Conz
- Credential
- M.A., L.L.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2012
- Last updated
- Jun 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301011525 | MI | Yes |
Practice location
3250 Coolidge HwySuite 201
Berkley, MI 48072-1693
Phone 734-218-0891
Mailing address
3250 Coolidge HwySuite 201
Berkley, MI 48072-1693
Phone 734-218-0891
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