Kirsanoff Psychotherapy Pllc | |
3083 Coolidge Hwy Berkley MI 48072-3523 | |
(248) 850-1546 | |
(248) 850-1545 |
Full Name | Kirsanoff Psychotherapy Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 3083 Coolidge Hwy, Berkley, Michigan |
Authorized Official Name and Position | Lynelle Marie Kirsanoff (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 2488501546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kirsanoff Psychotherapy Pllc 3083 Coolidge Hwy Berkley MI 48072-3523 Ph: (248) 850-1546 | Kirsanoff Psychotherapy Pllc 3083 Coolidge Hwy Berkley MI 48072-3523 Ph: (248) 850-1546 |
NPI Number | 1710248810 |
---|---|
Provider Enumeration Date | 06/05/2012 |
Last Update Date | 06/05/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710248810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801085078 (Michigan) | Primary |
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