Jeannette Ann Agnello, MA., L.L.P.
Psychologist in Royal Oak, MI. Individual provider (NPI-1).
NPI number1992992093
StatusActive
Last updated in NPPESAug 19, 2014
Details
- NPI
- 1992992093
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jeannette Ann Agnello
- Credential
- MA., L.L.P.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2007
- Last updated
- Aug 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6301013681 | MI | Yes |
| 103TC0700X | Psychologist, Clinical | 6301013681 | MI |
Other names
- Keam Agme;;p (Professional Name)
Practice location
1424 E 11 Mile RdRoyal Oak, MI 48067-2026
Phone 248-548-4044 · Fax 248-548-9239
Mailing address
5776 Celico LnDryden, MI 48428-9201
Phone 586-662-9600
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