Eitedal Basyouni, Phd
Counselor, Mental Health in Royal Oak, MI. Individual provider (NPI-1).
NPI number1891092268
StatusActive
Last updated in NPPESFeb 22, 2011
Details
- NPI
- 1891092268
- Entity type
- Individual (NPI-1)
- Name
- Eitedal Basyouni
- Credential
- Phd
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2011
- Last updated
- Feb 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6401002100 | MI | Yes |
Practice location
30701 Woodward AveSuite 200
Royal Oak, MI 48073-0987
Phone 248-288-9333 · Fax 248-288-1362
Mailing address
30701 Woodward AveSuite 200
Royal Oak, MI 48073-0987
Phone 248-288-9333 · Fax 248-288-1362
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