Ck Psychological Services | |
215 Ann Arbor Rd W Ste 206 Plymouth MI 48170-2251 | |
(313) 687-4112 | |
Not Available |
Full Name | Ck Psychological Services |
---|---|
Speciality | Psychologist |
Location | 215 Ann Arbor Rd W Ste 206, Plymouth, Michigan |
Authorized Official Name and Position | Celena Khatib (OWNER) |
Authorized Official Contact | 3136874112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ck Psychological Services 48356 Wadebridge Dr Canton MI 48187-1225 Ph: (734) 306-9507 | Ck Psychological Services 215 Ann Arbor Rd W Ste 206 Plymouth MI 48170-2251 Ph: (313) 687-4112 |
NPI Number | 1083254031 |
---|---|
Provider Enumeration Date | 01/07/2020 |
Last Update Date | 12/15/2022 |
Certification Date | 12/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083254031 | NPI | - | NPPES |
1336564970 | Other | INDIVIDUAL NPI | |
6301015851 | Other | MI | LIMITED LICENSE PSYCHOLOGIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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