Organization · NPI-2

Doris A. Landry, M.S., P.C.

Case Management · Livonia, MI

NPI number1760718571
StatusActive
Last updated in NPPESOct 29, 2009

Details

NPI
1760718571
Entity type
Organization (NPI-2)
Legal business name
Doris A. Landry, M.S., P.C.
Organization subpart
No
Enumeration date
Oct 29, 2009
Last updated
Oct 29, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management6301007803MIYes

Practice location

34441 8 Mile Rd
Suite 108
Livonia, MI 48152-4013

Phone 248-891-8139

Mailing address

1894 Majon
Highland, MI 48356-1757

Authorized official

Doris A Landry-Kruse
President/Psychologist
2488918139

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