Individual provider · NPI-1
Marwa Ahmed, PsyD
Psychologist, Clinical · Detroit, MI
NPI number1881313377
StatusActive
Last updated in NPPESDec 2, 2022
Details
- NPI
- 1881313377
- Entity type
- Individual (NPI-1)
- Name
- Marwa Ahmed
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2022
- Certification date
- Dec 2, 2022
- Last updated
- Dec 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301019152 | MI | Yes |
| 103TC0700X | Psychologist, Clinical | 6351004419 | MI | |
| 103T00000X | Psychologist | 6301019152 | MI |
Practice location
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 800-653-6568
Mailing address
1 Ford Pl Ste 3aDetroit, MI 48202-3450
Phone 313-874-4806
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