Organization · NPI-2

Carissa Gaden, Ph.D., P.C.

Psychologist · Saint Clair Shores, MI

NPI number1982820957
StatusActive
Last updated in NPPESNov 8, 2022

Details

NPI
1982820957
Entity type
Organization (NPI-2)
Legal business name
Carissa Gaden, Ph.D., P.C.
Organization subpart
No
Enumeration date
Apr 18, 2007
Certification date
Nov 8, 2022
Last updated
Nov 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist–MIYes

Practice location

27941 Harper Ave Ste 102
Saint Clair Shores, MI 48081-1535

Phone 586-772-9390 · Fax 586-859-5300

Mailing address

27941 Harper Ave Ste 102
Saint Clair Shores, MI 48081-1535

Phone 586-772-9390 · Fax 586-859-5300

Authorized official

Carissa Gaden
President
5867729390

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