Orchard Lake Psychology
Social Worker, Clinical in Livonia, MI. Organization (NPI-2).
NPI number1982394839
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1982394839
- Entity type
- Organization (NPI-2)
- Legal business name
- Orchard Lake Psychology
- Organization subpart
- No
- Enumeration date
- May 12, 2023
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
8948 Merriman RdLivonia, MI 48150-3953
Phone 517-648-0735
Mailing address
8948 Merriman RdLivonia, MI 48150-3953
Authorized official
Shelby Louise Barnes
Clinical Social Worker
5176480735
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